Isky, a 65-year-old woman, is admitted to the hospital after experiencing sudden weakness and numbness on the right side of her body, along with difficulty speaking. Upon examination, she is diagnosed with an ischemic stroke. Isky has a medical history that includes hypertension, diabetes, and smoking. What is the most significant risk factor for ischemic stroke in Isky’s case?
Smoking
Diabetes
Hypertension
Age
The Correct Answer is C
Choice A reason: Smoking is a significant risk factor for ischemic stroke, contributing to vascular damage. However, hypertension has a stronger association, directly causing arterial stress and clot formation, so this is less critical than hypertension.
Choice B reason: Diabetes increases stroke risk by promoting atherosclerosis, but its impact is less immediate than hypertension, which directly elevates arterial pressure and stroke likelihood. Thus, diabetes is incorrect as the most significant factor.
Choice C reason: Hypertension is the most significant risk factor for ischemic stroke, as it damages arteries, promotes clot formation, and increases stroke incidence. Isky’s history highlights this as the primary contributor, making it correct.
Choice D reason: Age (65) is a stroke risk factor, but hypertension’s direct impact on vascular health outweighs age alone. Isky’s controllable risk factor, hypertension, is more significant, so this is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Appendicitis typically causes diarrhea or reduced bowel movements, not constipation with gastric distention. Hyperthermia and tachycardia are common due to inflammation, so this is incorrect for appendicitis manifestations.
Choice B reason: Appendicitis is associated with leukocytosis, not leukopenia, reflecting infection. Constipation is less common than diarrhea or pain, so hyperthermia and tachycardia better match, making this incorrect.
Choice C reason: Appendicitis causes hyperthermia (fever) from infection and tachycardia from pain and inflammation. These are classic manifestations, aligning with the body’s response to appendiceal inflammation, making this the correct choice.
Choice D reason: Hypothermia and bradycardia are not typical in appendicitis; fever and increased heart rate occur due to infection. Hyperthermia and tachycardia are expected, so this is incorrect for appendicitis symptoms.
Correct Answer is B
Explanation
Choice A reason: Dawn phenomenon involves morning hyperglycemia, not hunger, tachycardia, or confusion. Hypoglycemia from exercise causes these acute symptoms, so this is incorrect for the described episode in Type 1 diabetes.
Choice B reason: Hypoglycemia, often triggered by increased exercise, causes hunger, lightheadedness, tachycardia, pallor, headache, and confusion due to low blood sugar. This matches the symptoms, making it the correct cause for the patient’s episode.
Choice C reason: Hyperglycemia causes thirst, urination, and fatigue, not tachycardia or confusion. Hypoglycemia from exercise aligns with the acute, neuroglycopenic symptoms described, so this is incorrect for the cause.
Choice D reason: Somogyi effect involves rebound hyperglycemia after nocturnal hypoglycemia, not acute symptoms like hunger and confusion. Exercise-induced hypoglycemia fits the immediate presentation, so this is incorrect for the cause.
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