A patient comes into the emergency department with symptoms of a stroke that began 2 hours ago. Diagnostic testing confirms an ischemic stroke is present. What medications should the nurse anticipate will be delivered?
Heparin
Tissue-type plasminogen activator (tPA)
Warfarin
Clopidogrel
The Correct Answer is B
A. Heparin: Heparin is an anticoagulant, but it is not typically used in the acute management of ischemic stroke because it does not dissolve clots already formed. It may be used later for prophylaxis against new clots.
B. Tissue-type plasminogen activator (tPA): This is correct. tPA is a thrombolytic agent that can dissolve the clot causing the stroke. It is most effective when given within a few hours of symptom onset, making it the appropriate medication in this scenario.
C. Warfarin: Warfarin is an oral anticoagulant used for long-term prevention of clot formation but is not suitable for immediate thrombolytic therapy in acute ischemic stroke.
D. Clopidogrel: Clopidogrel is an antiplatelet medication used for secondary prevention of strokes but is not used for acute thrombolysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
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.
Correct Answer is ["A","B","D"]
Explanation
A. Cigarette smoking: This is correct. Smoking is a significant modifiable risk factor for stroke because it contributes to atherosclerosis and other cardiovascular issues.
B. Physical inactivity: This is correct. Regular physical activity reduces the risk of stroke by improving cardiovascular health and reducing other risk factors such as hypertension and obesity.
C. Family history of stroke: This is not modifiable. While family history increases risk, it cannot be changed. However, knowing this risk can prompt proactive management of modifiable factors.
D. Obesity: This is correct. Obesity is a modifiable risk factor for stroke because it is associated with other risks such as hypertension, diabetes, and hyperlipidemia. Weight loss and healthy lifestyle changes can reduce stroke risk.
E. Age: This is not modifiable. While older age increases stroke risk, it is a factor that cannot be changed.
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