The client is diagnosed with a transient ischemic attack (TIA) and is prescribed clopidogrel. Which statement would indicate the medication education has been effective for this client? The client states, "Clopidogrel

should be taken as needed for pain."

will help reduce the risk of stroke."

will decrease my symptoms of anxiety."

is ordered for blood pressure control."

Answer and Explanation

The Correct Answer is B

A.   Clopidogrel is not a pain medication; it is an antiplatelet agent used to reduce the risk of stroke and other cardiovascular events. It should be taken regularly, not on an as-needed basis.
B.   Clopidogrel works by inhibiting platelet aggregation, which helps prevent the formation of blood clots that can lead to strokes. This understanding indicates that the client recognizes the purpose of the medication and its importance in managing their condition after a TIA.
C.   Clopidogrel is not used to treat anxiety; it is primarily focused on reducing the risk of thrombotic events. This choice shows a misunderstanding of the medication's purpose.
D.   Clopidogrel does not directly control blood pressure; it is used to prevent blood clots. While blood pressure management is essential in the context of stroke prevention, clopidogrel itself does not have a role in lowering blood pressure.

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Correct Answer is C

Explanation

A. While blood vessel spasms can occur after a stroke, t-PA does not directly affect them.
B. Platelet aggregation is the process by which platelets stick together to form a clot. t-PA dissolves clots, but it does not prevent their formation.
C. Tissue plasminogen activator (t-PA) is a medication that can dissolve blood clots. In the case of a thrombotic stroke, a blood clot has blocked blood flow to the brain. By dissolving the clot, t-PA can restore blood flow and limit brain damage.
D. t-PA does not have any direct effect on the risk of infection in the brain.

A. bypassing the plaques with another artery. B. removal of plaques in the artery in the neck. C. brain surgery to remove the diseased plaques. D. resection of a diseased artery in the brain and replacing it with a Gortex graft.

Correct Answer is B

Explanation

A. A carotid endarterectomy does not involve bypassing the plaques; rather, it directly addresses the blockage.
B. Carotid endarterectomy is a surgical procedure that involves making an incision in the neck to access the carotid artery, where the surgeon removes the atherosclerotic plaques that are causing narrowing and restricting blood flow. This helps reduce the risk of stroke.
C. Carotid endarterectomy is not brain surgery; it is performed on the carotid arteries in the neck. The procedure aims to prevent strokes by improving blood flow to the brain, but it does not involve surgery on the brain itself.
D. This description does not accurately reflect carotid endarterectomy. The procedure does not involve resecting an artery in the brain or using a graft; rather, it focuses on removing plaques from the carotid artery in the neck.

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The client is diagnosed with a transient ischemic attack (TIA) and is prescribed clopidogrel. Which statement would indicate the medication education has been effective for this client? The client states, "Clopidogrel

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who had a thrombotic stroke in the Emergency Department. It has been less than 3 hours since the onset of symptoms. The rationale for using tissue plasminogen activator (t-PA) for this client is to:

Correct Answer is C

Explanation

The physician recommends a carotid endarterectomy for a client with atherosclerosis and a history of transient ischemic attacks (TIAS). The nurse explains that this procedure involves:

Correct Answer is B

Explanation

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