A nurse is educating a client who has a history of ischemic stroke about modifiable risk factors. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)

Hypertension

Smoking

Diabetes mellitus

Age

Family history

Answer and Explanation

Correct Answer : A,B,C

Choice A reason:

This is correct because hypertension is a modifiable risk factor for ischemic stroke, as it increases the stress on the arterial walls and accelerates atherosclerosis, which can lead to plaque formation and reduced blood flow to the brain.

Choice B reason:

This is correct because smoking is a modifiable risk factor for ischemic stroke, as it damages the endothelial lining of the arteries and promotes thrombosis, which can lead to clot formation and blockage of blood flow to the brain.

Choice C reason:

This is correct because diabetes mellitus is a modifiable risk factor for ischemic stroke, as it causes hyperglycemia and dyslipidemia, which can damage the blood vessels and increase the risk of atherosclerosis and thrombosis.

Choice D reason:

This is incorrect because age is a non-modifiable risk factor for ischemic stroke, as it cannot be changed or controlled by the client. The risk of ischemic stroke increases with age due to physiological changes in the blood vessels and other organs.

Choice E reason:

This is incorrect because family history is also a non-modifiable risk factor for ischemic stroke, as it cannot be changed or controlled by the client. The risk of ischemic stroke may be higher in clients who have relatives who had a stroke due to genetic or environmental factors.

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Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because peripheral neuropathy affects the sensory nerves, which can cause loss of sensation, especially in the distal parts of the body. Diabetes mellitus is a common cause of peripheral neuropathy.

Choice B reason:

This is incorrect because peripheral neuropathy does not affect the motor nerves, which control muscle tone and reflexes. Increased muscle tone and reflexes in the upper limbs are more likely to indicate a central nervous system disorder, such as a stroke or spinal cord injury.

Choice C reason:

This is incorrect because peripheral neuropathy can cause decreased pain perception in any part of the body, not just the hands and fingers. However, this is not a specific finding for peripheral neuropathy, as other conditions can also impair pain perception, such as spinal cord injury or opioid use.

Choice D reason:

This is incorrect because peripheral neuropathy does not affect the autonomic nerves, which control sweating and flushing. Increased sweating and flushing in the face and neck are more likely to indicate a sympathetic nervous system disorder, such as pheochromocytoma or carcinoid syndrome.

A. "Seizures occur when there is too much stimulation in your brain cells." B. "Seizures occur when there is an imbalance in your brain chemicals." C. "Seizures occur when there is a lack of oxygen in your brain tissue." D. "Seizures occur when there is an infection in your brain tissue."

Correct Answer is B

Explanation

Choice A reason:

This is an incorrect answer, as seizures do not occur due to too much stimulation in brain cells, but rather due to abnormal electrical activity caused by neurotransmitter imbalance.

Choice B reason:

This is a correct answer, as seizures occur due to neurotransmitter imbalance, which disrupts communication between neurons and causes abnormal electrical activity in the brain.

Choice C reason:

This is an incorrect answer, as seizures do not occur due to lack of oxygen in brain tissue, but rather due to abnormal electrical activity caused by neurotransmitter imbalance.

Choice D reason:

This is an incorrect answer, as seizures do not occur due to infection in brain tissue, but rather due to abnormal electrical activity caused by neurotransmitter imbalance.

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A nurse is educating a client who has a history of ischemic stroke about modifiable risk factors. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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