A patient asks the nurse how to prevent a stroke. Which statement by the nurse is correct? Select all that apply.
"You should increase your daily exercise."
"Eat a low-sodium and low-potassium diet."
"Oral contraceptives have no effect on stroke risk."
"Strict blood glucose control is important
"Excessive alcohol intake can increase your risk."
Correct Answer : A,D
A. "You should increase your daily exercise.": Regular physical activity helps lower blood pressure, improve cardiovascular health, and reduce the risk of stroke.
B. "Eat a low-sodium and low-potassium diet.": While reducing sodium intake is beneficial, potassium is actually important for blood pressure regulation. A diet rich in potassium is often recommended to help manage blood pressure.
C. "Oral contraceptives have no effect on stroke risk.": This statement is incorrect. Some oral contraceptives, especially those with higher estrogen content, can increase the risk of stroke, particularly in women with other risk factors.
D. "Strict blood glucose control is important.": Proper management of blood glucose levels is crucial for preventing stroke, especially in individuals with diabetes, as poorly controlled diabetes can lead to vascular complications.
E. "Excessive alcohol intake can increase your risk.": Excessive alcohol consumption is a known risk factor for hypertension and stroke. Moderation is key to reducing stroke risk.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. It increases formation of purines: This is incorrect. Allopurinol works by inhibiting the enzyme xanthine oxidase, which is involved in the conversion of purines to uric acid. Therefore, it reduces, rather than increases, uric acid formation.
B. It blocks formation of uric acid: This is correct. Allopurinol decreases uric acid production by inhibiting the enzyme xanthine oxidase, which converts xanthine to uric acid, thus helping to prevent gout attacks and manage chronic gout.
C. It increases metabolism of purines: Allopurinol does not increase the metabolism of purines. Instead, it reduces the conversion of purines to uric acid, which is the substance that accumulates and causes gout.
D. It excretes proteins: Allopurinol does not facilitate the excretion of proteins. Its primary action is to reduce the production of uric acid.
Correct Answer is A
Explanation
A. tPA is not delivered for hemorrhagic stroke: This is correct. tPA is a thrombolytic medication used for ischemic strokes, not haemorrhagic strokes, as it would exacerbate bleeding.
B. The total effects of ischemia are not currently known: While assessing the extent of ischemia is important for ischemic stroke, it is irrelevant here because the stroke is hemorrhagic.
C. Too much time has passed since the symptoms began: The time window is important for tPA in ischemic strokes, but in this case, the type of stroke (haemorrhagic) is the determining factor.
D. The patient's symptoms have progressed too quickly: The progression of symptoms does not affect the decision to use tPA; the contraindication is solely due to the hemorrhagic nature of the stroke.
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