Which statement is accurate about the recommendations for BP management after an ischemic stroke?
The BP must be lower than 130/70 mm Hg to receive fibrinolytic agents.
Elevated BPs are expected after a stroke, and drug therapy should be initiated.
A lower BP is a protective response to maintain cerebral perfusion.
Drugs to lower BP are recommended if the BP is 220/120 mm Hg or higher
The Correct Answer is D
A. The BP must be lower than 180/105 mm Hg to receive fibrinolytic agents, not 130/70 mm Hg.
B. Elevated BPs are common immediately after a stroke, but drug therapy to lower BP is not initiated unless it reaches high levels (typically > 220/120 mm Hg).
C. A lower BP does not act as a protective response; maintaining a higher BP can be necessary initially after a stroke to ensure adequate cerebral perfusion.
D. If BP is 220/120 mm Hg or higher after ischemic stroke, aggressive antihypertensive therapy is initiated to reduce the risk of hemorrhagic transformation and other complications.
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Related Questions
Correct Answer is B
Explanation
A. Clouding of the lens is a sign of cataracts, not diabetic retinopathy.
B. Diabetic retinopathy is a complication of diabetes that affects the blood vessels of the retina, leading to symptoms like seeing spots, floaters, or blurred vision. It often progresses silently and can lead to blindness if not monitored.
C. Increase in intraocular pressure is a characteristic of glaucoma, not diabetic retinopathy.
D. Eye exams every 2 years is not frequent enough for diabetic patients. They should have annual eye exams to monitor for diabetic retinopathy.
Correct Answer is A
Explanation
A. Damage to the right hemisphere, particularly the parietal and temporal lobes, can cause difficulty with recognition (prosopagnosia) and spatial awareness.
B. Right hemiparesis (weakness of the left side of the body) is common with left hemisphere damage, not right hemisphere damage.
C. Aphasia (language impairment) is typically associated with left hemisphere damage.
D. Difficulty reading (alexia) is more common with left hemisphere stroke, which controls language processing.
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