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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Left-sided strokes commonly affect language and speech functions due to damage in the language center, so communication goals should be prioritized.
B. Impulsive behavior is more commonly associated with right-sided strokes, not left-sided strokes.
C. Left-sided motor deficits are due to the right hemisphere being affected, not the left hemisphere.
D. Loss of depth perception is more often seen with right-sided strokes, affecting the right hemisphere.
Correct Answer is C
Explanation
A. Hypertension is a modifiable risk factor for stroke, not a nonmodifiable one.
B. Obesity is a modifiable risk factor, as lifestyle changes can affect weight.
C. Genetics are a nonmodifiable risk factor, as family history cannot be changed and increases stroke risk.
D. History of smoking is a modifiable risk factor. Stopping smoking reduces stroke risk.
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