Which medical condition places a patient at a higher risk for an embolic stroke?
Diabetes
Hypothyroidism
Heart failure
Atrial fibrillation
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A hemorrhagic stroke, especially after a ruptured cerebral aneurysm, often presents with a sudden, severe headache. This headache is typically described as the "worst headache of my life."
B. Gradual onset of several hours is more typical of an ischemic stroke, not a hemorrhagic stroke.
C. History of neurologic deficits lasting less than 1 hour would suggest a transient ischemic attack (TIA), not a hemorrhagic stroke.
D. Maintains consciousness is not typical of a hemorrhagic stroke, as the client may lose consciousness or be altered in their mental status due to the bleeding.
Correct Answer is ["A","B","D"]
Explanation
A. Decreasing Glasgow Coma scores indicate a worsening neurological status and reduced consciousness.
B. Swelling of the optic nerve (papilledema) is a sign of increased ICP and indicates worsening conditions.
C. A respiratory rate of 12/min may be within normal range for some individuals but can also be a sign of impending respiratory depression in cases of severe ICP. However, it is not as immediately concerning as the other options in this case.
D. Changes in pupil size and shape are classic signs of worsening ICP. Unequal or nonreactive pupils are a key indicator.
E. Blood pressure of 108/74 mm Hg is not concerning unless it represents a significant drop from the baseline; other signs of worsening ICP are more critical in this case.
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