The nurse assists with discharge of a patient who has a stroke and is being prescribed a statin medication. Which patient statement indicates adequate teaching?

"This medication will help lower my cholesterol."

"This medication can help protect my brain from a stroke."

"This medication will help stop plaques in my blood vessels

"Muscle pains are normal for the first few weeks."

Answer and Explanation

The Correct Answer is A

A. "This medication will help lower my cholesterol.": Statins are primarily used to lower cholesterol levels, which helps reduce the risk of cardiovascular diseases including strokes.
B. "This medication can help protect my brain from a stroke.": While statins indirectly help reduce the risk of a stroke by lowering cholesterol, they do not directly protect the brain from stroke.
C. "This medication will help stop plaques in my blood vessels.": Statins can reduce the progression of atherosclerosis by lowering cholesterol, but they do not stop plaque formation completely.
D. "Muscle pains are normal for the first few weeks.": Muscle pain (myopathy) can be a side effect of statins and should be reported to a healthcare provider, as it can indicate a serious condition like rhabdomyolysis, not something that should be considered normal.

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Correct Answer is B

Explanation

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.

A. “Take off work for the rest of the day to rest at home." B. "Return to work and have your blood pressure rechecked in 2 days." C. "Take two doses of blood pressure medication right now." D. "Sit quietly while we call 911 to request an ambulance."

Correct Answer is D

Explanation

A. “Take off work for the rest of the day to rest at home.": This advice is not adequate for such a high blood pressure reading, which indicates a hypertensive crisis that requires immediate medical intervention.
B. "Return to work and have your blood pressure rechecked in 2 days.": This is inappropriate as it delays necessary urgent medical evaluation and treatment.
C. "Take two doses of blood pressure medication right now.": Without medical supervision, this could be dangerous and is not appropriate in an emergency situation where the blood pressure is critically high.
D. "Sit quietly while we call 911 to request an ambulance.": A blood pressure of 220/120 mm Hg suggests a hypertensive emergency, which can lead to life-threatening complications like stroke or heart attack. The patient needs immediate medical attention, and calling 911 is the appropriate response.

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The nurse assists with discharge of a patient who has a stroke and is being prescribed a statin medication. Which patient statement indicates adequate teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

During a health screening, a patient's blood pressure is confirmed by two clinic nurses to be 220/120 mm Hg. Which of the following actions should the nurse recommend to the patient?

Correct Answer is D

Explanation

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