(1 point). Listen.
A nurse is describing stroke.
together?
Pulse rate, hypertension, and arrhythmia.
Murmurs, hypertrophy, and blood flow.
Contractility, preload, and afterload.
Myocyte hibernation, stunning, and remodeling.
The Correct Answer is A
Choice A rationale:
When describing stroke, it is essential to focus on factors related to the cardiovascular system. Pulse rate, hypertension (high blood pressure), and arrhythmia (irregular heart rhythms) are all cardiovascular parameters that can be associated with stroke. An increase in pulse rate, hypertension, and arrhythmia can be signs of a stroke or risk factors for stroke.
Choice B rationale:
Murmurs, hypertrophy, and blood flow are relevant to cardiac conditions and may be associated with stroke if they lead to inadequate blood flow to the brain. However, they are not as directly related to stroke as the factors mentioned in choice A.
Choice C rationale:
Contractility, preload, and afterload are also important cardiac parameters but are more related to the function of the heart itself rather than stroke. While heart function is crucial for maintaining adequate blood flow to the brain, these parameters are not as directly associated with stroke as the factors in choice A.
Choice D rationale:
Myocyte hibernation, stunning, and remodeling are terms often used in the context of cardiac conditions, particularly after myocardial infarction (heart attack). These terms are not typically associated with a general description of stroke. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Endothelial injury is a component of the Virchow triad. This statement is correct. The Virchow triad consists of three components that contribute to the formation of blood clots: endothelial injury, venous stasis, and a hypercoagulable state. Endothelial injury refers to damage to the inner lining of blood vessels, which can trigger the clotting process.
Choice B rationale:
LDL accumulation is not a component of the Virchow triad. This statement is incorrect. The Virchow triad does not include LDL accumulation as one of its components. LDL (low-density lipoprotein) is related to atherosclerosis and cardiovascular disease but is not a part of the Virchow triad.
Choice C rationale:
Venous stasis is a component of the Virchow triad. This statement is correct. Venous stasis refers to the slowing or stagnation of blood flow in the veins, which can promote the formation of blood clots. It is one of the three components of the Virchow triad.
Choice D rationale:
A hypercoagulable state is a component of the Virchow triad. This statement is correct. A hypercoagulable state refers to a condition where the blood is more prone to clotting. It is one of the three components of the Virchow triad.
Correct Answer is C
Explanation
Choice A rationale:
The client with bipolar disorder speaking loudly may be experiencing a manic episode, but this doesn't represent an immediate physical concern. There's no indication of a medical emergency here.
Choice B rationale:
Olfactory hallucinations in a client with schizophrenia are concerning, but it doesn't necessarily indicate an immediate physical issue that requires urgent attention.
Choice C rationale:
A client taking clozapine and reporting a sore throat is of immediate concern because clozapine is associated with a risk of agranulocytosis, a potentially life-threatening condition that can manifest as a sore throat. Monitoring for this side effect is crucial.
Choice D rationale:
While weight gain in a client taking lithium should be monitored, it's not an acute issue that requires immediate attention.
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