Which statement is accurate about the recommendations for BP management after an ischemic stroke?

The BP must be lower than 130/70 mm Hg to receive fibrinolytic agents.

Elevated BPs are expected after a stroke, and drug therapy should be initiated.

A lower BP is a protective response to maintain cerebral perfusion.

Drugs to lower BP are recommended if the BP is 220/120 mm Hg or higher

Answer and Explanation

The Correct Answer is D

A.   The BP must be lower than 180/105 mm Hg to receive fibrinolytic agents, not 130/70 mm Hg.
B.   Elevated BPs are common immediately after a stroke, but drug therapy to lower BP is not initiated unless it reaches high levels (typically > 220/120 mm Hg).
C.   A lower BP does not act as a protective response; maintaining a higher BP can be necessary initially after a stroke to ensure adequate cerebral perfusion.

D.   If BP is 220/120 mm Hg or higher after ischemic stroke, aggressive antihypertensive therapy is initiated to reduce the risk of hemorrhagic transformation and other complications.

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Correct Answer is C

Explanation

A. Monitoring for CSF leakage is crucial to avoid infection and to maintain ICP accuracy.
B. Hyper-oxygenation may be used in certain cases but is not the priority.
C. Aseptic technique for all procedures and dressing changes is critical to prevent infection.
D. Administering IV mannitol can be important, but aseptic technique is the priority to prevent infection.

A. Restlessness B. Positive Kernig's sign C. Nuchal rigidity D. Photophobia

Correct Answer is A

Explanation

A. Restlessness is an early sign of increased intracranial pressure (ICP) due to impaired brain function or increased pressure on the brainstem.
B. Positive Kernig's sign is a sign of meningeal irritation but not necessarily a sign of increased ICP.
C. Nuchal rigidity is a sign of meningeal irritation but not necessarily a sign of increased ICP.
D. Photophobia (sensitivity to light) is common in meningitis, but it is not specific to increased ICP.

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Which statement is accurate about the recommendations for BP management after an ischemic stroke?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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