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Stroke (CVA) — NCLEX Cheat Sheet
FAST → time = brain
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Use this quick-reference guide to spot, treat, and prevent Stroke (CVA) on the NCLEX. Keep it handy during review and on exam day!
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Types
Key facts- Ischemic (87%) = clot/thrombus
- Hemorrhagic = bleed, worse HA
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Signs
What to look for- Face droop, arm drift, speech
- Hemiparesis, aphasia, hemianopia
- Right brain → left side weakness
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Do
Nursing actions- CT FIRST → rule out bleed
- tPA within 3-4.5h if ischemic
- Swallow eval before food/meds
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Avoid
Key facts- tPA if hemorrhagic = fatal
- Affected-side IV/positioning
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Quick Tip
Symptoms are usually sudden and one-sided: facial droop, arm/leg weakness, and slurred or garbled speech.
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