CEA Nursing Practice Exam

A patient with a past cerebrovascular accident is likely to exhibit which of the following regarding their affected hand?

1. Hyper-reactive response to pain

2. Edema or excessive swelling

3. Movement difficulty or immobility

4. Numbness and tingling sensations

The correct answer is: Edema or excessive swelling

The presence of edema or excessive swelling in the affected hand of a patient with a past cerebrovascular accident (CVA) is consistent with common complications following such an event. After a CVA, especially if there is hemiplegia or weakness on one side of the body, the muscles may not be used as frequently, leading to fluid accumulation in the tissues. This can result in localized swelling in the affected areas, including the hand. Swelling can also be caused by a lack of movement since the muscular contractions that help to promote circulation and fluid return may be diminished. In instances where mobility is compromised, the body’s ability to manage fluids is altered, contributing further to edema. Management of swelling is critical in rehabilitation to prevent complications such as contractures or skin breakdown. In contrast, while the other options describe potential symptoms that can occur in a patient post-CVA, edema is particularly prevalent in such patients due to inactivity and can significantly impact their recovery and quality of life.