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. Kernig's sign is positive when there is pain and resistance to extending the leg at the knee when the hip is flexed, and Brudzinski's sign is positive when the client involuntarily flexes their knees and hips when the neck is flexed. These are both signs of meningeal irritation, which is characteristic of meningitis.
B. The patellar reflex is a deep tendon reflex that assesses the function of the L2-L4 spinal nerves. It is not specific to meningitis and would not be a primary indicator.
C. The pupillary reflex assesses the response of the pupils to light and is not specific to meningitis. It can be affected by various neurological conditions, but it is not a primary sign of meningitis.
D. Blumberg's sign is associated with peritonitis and indicates rebound tenderness in the abdomen. It is not related to meningitis, which affects the central nervous system rather than the abdominal cavity.
Correct Answer is A
Explanation
A. Keep familiar personal items in the client's room is an effective strategy to help reduce confusion in clients with Alzheimer's disease. Familiar items can provide comfort and a sense of security, which can help orient the client and reduce agitation.
B. Hang abstract pictures on the walls is not recommended for clients with Alzheimer's disease, as abstract art may be confusing or difficult for them to interpret. Instead, simple and familiar images are more beneficial for orientation.
C. Encourage bright lighting in the room may cause discomfort or confusion for some individuals with Alzheimer's disease, especially if they are sensitive to light. Soft, ambient lighting is often more calming.
D. Keep the television on at all times may be overstimulating and contribute to confusion. It is better to create a calm and quiet environment to help the client focus and reduce agitation.
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