SCRN Study Guide 2026

Hyperglycemia worsens stroke outcomes; AHA/ASA guidelines recommend treating glucose > 180 mg/dL and maintaining levels between 140–180 mg/dL.

Optimal nutrition is crucial in post-acute stroke care because it directly supports the brain's recovery processes and the body's overall healing. Adequate nutrients are essential for neuroplasticity, reducing inflammation, and preventing complications like malnutrition, which can significantly hinder rehabilitation progress. Therefore, a well-managed nutritional plan plays a vital role in improving patient outcomes and accelerating recovery after a stroke.

For elderly stroke patients, post-acute care must take a holistic approach, considering not only the stroke-related deficits but also pre-existing age-related health conditions. Older adults often have comorbidities, polypharmacy, and reduced physiological reserves, which can impact recovery and require integrated management. Addressing both aspects optimizes outcomes and prevents complications in this vulnerable population.

The standard dose of IV alteplase is 0.9 mg/kg with a maximum total dose of 90 mg.

Proper documentation and reporting through established channels is the correct first step when identifying a potential violation. This ensures accountability, creates a paper trail, and allows appropriate parties to investigate and resolve the issue.

The probability and severity of potential harm are the primary factors in risk assessment. While cost and convenience are considerations, they should never override the assessment of how likely an incident is and how severe its consequences could be.