Classify each characteristic as describing either ischemic CVA, hemorrhagic CVA, or both. Answer options may be used more than once or not at all. Select your answers from the pull-down list.
Hemiparesis
Higher fatality rate
Rupture of vessel
Loss of blood flow
Most common
Altered sensorium
The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A,B"}}
a. Hemiparesis: Both
- Higher fatality rate: Hemorrhagic CVA
- Rupture of vessel: Hemorrhagic CVA
- Loss of blood flow: Ischemic CVA
- Most common: Ischemic CVA
- Altered sensorium: Both
Rationale: A cerebrovascular accident (CVA), or stroke, is a sudden interruption of blood supply to the brain, resulting in neurological damage. There are two main types of stroke: ischemic and hemorrhagic. Ischemic stroke occurs when a blood clot or plaque blocks an artery that supplies blood to the brain, causing tissue death due to lack of oxygen and nutrients. Hemorrhagic stroke occurs when a blood vessel in the brain ruptures, causing bleeding into the brain tissue or the surrounding space. Both types of stroke can cause hemiparesis (weakness on one side of the body), altered sensorium (changes in consciousness, alertness, or orientation), and other neurological deficits depending on the location and extent of the damage. However, hemorrhagic stroke has a higher fatality rate than ischemic stroke because of the increased risk of intracranial pressure, cerebral edema, and brain herniation. Ischemic stroke is more common than hemorrhagic stroke, accounting for about 87% of all strokes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A hypertensive crisis is defined as a systolic blood pressure (top number) of 180 mm Hg or higher or a diastolic blood pressure (bottom number) of 120 mm Hg or higher. A patient with a blood pressure of 190/137 meets this criterion and has a significantly elevated risk of organ damage and cardiovascular complications. A usual blood pressure of 170/110 indicates that the patient has chronic hypertension, which is a risk factor for hypertensive crisis.
Correct Answer is B
Explanation
Naïve T cells are a type of white blood cell that has not encountered a specific antigen before and are ready to respond to new infections. As people age, the number of naïve T cells decreases due to the shrinking of the thymus gland, which produces and matures T cells. This reduces the ability of the immune system to recognize and fight new pathogens and lowers the effectiveness of vaccines.
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