A nurse is caring for a client with a pre-existing cardiovascular disease and atrial fibrillation. What type of stroke is this client at increased risk to have?

hemorrhagic stroke

thrombotic stroke

embolic stroke

subarachnoid stroke

Answer and Explanation

The Correct Answer is C

Choice A reason: A hemorrhagic stroke occurs due to bleeding in the brain, often from a burst blood vessel. While individuals with cardiovascular disease might have risk factors, atrial fibrillation primarily increases the risk for strokes caused by clots, not bleeding.

Choice B reason: A thrombotic stroke is caused by a clot that forms within the blood vessels of the brain. While cardiovascular disease can contribute to thrombosis, atrial fibrillation more commonly leads to embolic strokes due to clots forming in the heart and traveling to the brain.

Choice C reason: This is the correct answer. Atrial fibrillation increases the risk of embolic strokes because it can cause blood clots to form in the heart. These clots can travel to the brain and cause an embolic stroke, which is why patients with atrial fibrillation are often on anticoagulant therapy.

Choice D reason: A subarachnoid stroke involves bleeding in the space between the brain and the surrounding membrane. It is typically associated with aneurysms or head injury, rather than atrial fibrillation. This choice does not align with the client’s condition.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Grilled chicken is a suitable food choice for clients taking MAOIs. It does not contain significant levels of tyramine and poses no risk of causing hypertensive crises, which can occur when tyramine-rich foods are consumed.

Choice B reason: This is the correct answer. Red wine contains high levels of tyramine, which can interact with MAOIs to cause severe hypertensive crises. Patients on MAOIs are advised to avoid all forms of fermented alcoholic beverages.

Choice C reason: This is the correct answer. Smoked sausage is another food high in tyramine. The fermentation and curing processes increase tyramine content, making it unsafe for patients on MAOIs.

Choice D reason: This is the correct answer. Aged cheddar and other aged cheeses contain high levels of tyramine due to the aging process. Consuming these can lead to dangerous blood pressure elevations in patients taking MAOIs.

Choice E reason: Cereal is typically safe for clients on MAOIs as it generally does not contain tyramine. Regular cereal options are suitable for a diet that needs to avoid tyramine-rich foods.

A. This is potentially a warning sign of a hemorrhagic stroke. B. This is potentially a warning sign of an ischemic stroke. C. Neurological deficits last for 72 hours or less. D. The client will have a small area of brain infarction.

Correct Answer is B

Explanation

Choice A reason:

A transient ischemic attack (TIA) is more commonly a warning sign of an ischemic stroke, not a hemorrhagic stroke. TIAs are caused by temporary blockages that do not result in permanent damage, unlike hemorrhagic strokes that involve bleeding in the brain.

Choice B reason:

A TIA is indeed a warning sign of a potential ischemic stroke. It is caused by a temporary disruption of blood flow to the brain and can serve as an early indicator of a future ischemic stroke if risk factors are not managed.

Choice C reason:

While the symptoms of a TIA can resolve within 24 hours, stating that neurological deficits last for 72 hours or less is inaccurate. The defining feature of a TIA is that symptoms resolve within a short period, typically within a few minutes to hours, but not extending up to 72 hours.

Choice D reason:

A TIA does not cause a small area of brain infarction. By definition, a TIA results in no permanent brain damage or infarction, which distinguishes it from a stroke where an infarction does occur.

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A nurse is caring for a client with a pre-existing cardiovascular disease and atrial fibrillation. What type of stroke is this client at increased risk to have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client taking a newly prescribed monoamine oxidase inhibitor (MAOI) is receiving education on foods that contain tyramine. Which of the following foods should be excluded from the client's diet? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

Which statement is true regarding a transient ischemic attack (TI

Correct Answer is B

Explanation

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