A home health nurse teaches a client who has been discharged after an ischemic stroke about lifestyle modifications to prevent future strokes.
Which statement by the client indicates that further education is needed?
I plan to start a daily exercise routine, as advised by my doctor.
I will stop smoking, as it increases my risk of stroke.
I will reduce my intake of high-fat foods and increase my intake of fruits and vegetables.
I can continue to take over-the-counter aspirin if I have joint pain.
The Correct Answer is D
Post stroke education focuses on secondary prevention through risk factor modification. Applying knowledge of pharmacology and lifestyle changes is necessary to ensure the patient understands how to manage hypertension, smoking cessation, and safe medication use to avoid recurrence.
Choice A rationale
Daily exercise is a recommended lifestyle modification that helps manage weight and lower blood pressure. It improves cardiovascular health and reduces the risk of recurrent ischemic events by enhancing vascular tone and reducing systemic inflammation.
Choice B rationale
Smoking cessation is critical because nicotine causes vasoconstriction and accelerates atherosclerosis. Stopping tobacco use significantly lowers the risk of thrombus formation and further ischemic damage to the cerebral vasculature in post stroke patients.
Choice C rationale
Reducing high fat intake and increasing fruits and vegetables helps manage cholesterol levels. Lowering low density lipoprotein levels prevents the progression of carotid artery plaque, which is a major contributor to the occurrence of ischemic strokes.
Choice D rationale
While aspirin is often prescribed for its antiplatelet properties, clients should not self medicate with over the counter versions without clinical supervision. Aspirin increases bleeding risks, and its use must be coordinated with other prescribed anticoagulants..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["167"]
Explanation
Step 1 is 2 L × 1,000 mL = 2,000 mL.
Step 2 is 2,000 mL ÷ 12 hours = 166.666 mL/hr.
Step 3 is round 166.666 to 167 mL/hr. Final calculated answer is 167.
Correct Answer is ["A","B","C","E"]
Explanation
End-of-life care focuses on communication, psychological support, and advocacy. Knowledge of therapeutic communication and the stages of grief is required to provide holistic care that empowers the family while reducing the uncertainty and helplessness often associated with terminal illness.
Choice A rationale
Clarifying rationale reduces anxiety by providing the family with an understanding of how pain management promotes comfort. Knowledge of pharmacokinetics helps families accept that scheduled dosing prevents breakthrough pain, reducing their stress regarding the dying process.
Choice B rationale
Using the teach-back method ensures that the family accurately understands the complex medical information provided. This reduces frustration caused by misunderstandings or the cognitive impairment often associated with high stress and emotional exhaustion during terminal care.
Choice C rationale
Transparency regarding delays prevents feelings of neglect or abandonment. Explaining the medical reasoning behind schedule changes builds trust and ensures the family feels respected and involved in the care planning process during a vulnerable time.
Choice D rationale
Limiting interactions can make a family feel isolated or ignored during a crisis. While privacy is important, the nurse must remain available and present, as social isolation often increases the stress and fear associated with death.
Choice E rationale
Providing unlimited access to staff addresses the unpredictability of terminal illness and the family's need for reassurance. This support system minimizes frustration by ensuring that questions and physiological changes are addressed promptly by the healthcare team.
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