Which medical condition places a patient at a higher risk for an embolic stroke?

Diabetes

Hypothyroidism

Heart failure

Atrial fibrillation

Answer and Explanation

The Correct Answer is D

A.   Diabetes is not primary risk factors for embolic strokes, although it can increase the risk for other types of cardiovascular events.
B.   Hypothyroidism is not primary risk factors for embolic strokes, although it can increase the risk for other types of cardiovascular events.
C.   Heart failure also increases the risk for stroke, but atrial fibrillation is a stronger risk factor for embolic stroke.

D.   Atrial fibrillation significantly increases the risk of embolism because it causes blood to pool in the atria, which can form clots that may travel to the brain, causing a stroke.

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Correct Answer is C

Explanation

A. Thrombotic stroke typically presents with gradual symptom onset, not the sudden headache and vomiting seen here.
B. Embolic stroke is associated with symptoms that appear suddenly and usually do not present with vomiting or seizures.
C. A hemorrhagic stroke is characterized by the sudden onset of a severe headache, vomiting, altered mental status, and sometimes seizures, which are all present in this patient. The high blood pressure and fever may indicate a hemorrhage in the brain or an associated infection.
D. Transient ischemic attack (TIA) presents with temporary neurological deficits and does not cause persistent symptoms like a seizure or vomiting.

A. Safety precaution B. Oxygenation C. Pain management D. Infection

Correct Answer is A

Explanation

A. The priority in managing delirium is ensuring the patient's safety, as delirium increases the risk of falls, self-harm, and other dangerous behaviors. Close monitoring and protective measures are essential.
B. Oxygenation is important but not the first priority unless the patient shows signs of hypoxia or respiratory distress.
C. Pain management should be considered, but it is secondary to addressing the safety risks associated with delirium.
D. Infection should be investigated, but the immediate concern in delirium is safety due to the altered mental state.

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Which medical condition places a patient at a higher risk for an embolic stroke?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Which are would be a priority of care for a patient who is being admitted to the hospital and its demonstrating signs of delirium?

Correct Answer is A

Explanation

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