A post myocardial infarction patient experiences atrial fibrillation is most at risk for which type of stroke?
Thrombotic stroke
Cerebral aneurysm
Embolic stroke
Hemorrhagic stroke
The Correct Answer is C
A. A thrombotic stroke is typically caused by a blood clot that forms in an artery supplying blood to the brain, usually due to atherosclerosis. While it is a possible cause of stroke, it is not the most likely in this patient with atrial fibrillation.
B. A cerebral aneurysm involves a weakness in the blood vessel wall that can lead to rupture and bleeding, causing a hemorrhagic stroke, but this is not the most common type of stroke in patients with atrial fibrillation.
C. Embolic stroke occurs when a clot or other debris (such as a thrombus) breaks off from a distant part of the body (like the heart in atrial fibrillation) and travels to the brain, blocking a cerebral artery. This is the most common type of stroke in patients with atrial fibrillation due to the formation of clots in the left atrium that can embolize to the brain.
D. Hemorrhagic stroke is caused by the rupture of a blood vessel in the brain, leading to bleeding. It is not the most common type of stroke in patients with atrial fibrillation, though it can occur if there is coagulopathy or anticoagulant therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Providing a dark, quiet environment is an appropriate intervention for a client with a migraine headache. Migraines are often aggravated by bright lights and loud noises, so creating a calm, low-stimulation environment can help alleviate symptoms.
B. While caffeine can be a trigger for some individuals with migraines, it is not necessary to eliminate all caffeine. In fact, caffeine is sometimes included in medications for migraines to enhance their effectiveness.
C. Cognitive impairment is not a typical concern for migraines unless the headache is severe or prolonged. Monitoring for cognitive impairment would not be the primary action in this scenario.
D. Opioids are not recommended for the treatment of migraines due to their potential for abuse and side effects. NSAIDs, triptans, and other specific migraine treatments are preferred.
Correct Answer is ["A","B","D","E"]
Explanation
A. Neck stiffness is a common symptom of a herniated cervical disc due to irritation of the surrounding tissues and nerve roots.
B. Pain in the neck is one of the hallmark symptoms of a cervical disc herniation, as the disc presses on the nerves in the cervical spine.
C. Low back pain is typically associated with lumbar disc herniation, not cervical disc herniation. A herniated cervical disc would more likely cause symptoms in the neck, shoulders, and arms.
D. Shoulder pain is a common symptom of a herniated cervical disc because the nerves that are compressed in the cervical spine also innervate the shoulders.
E. Tingling in the arms is a common symptom of a herniated cervical disc, as the disc can compress the nerves that supply sensation to the arms, leading to numbness and tingling.
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