How it Works
Try Naxlex NCLEX-RN (Free-Trial)

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

A.

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

B.

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

C.

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

D.

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.
 


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

A. Difficulty moving the upper extremities may occur in some stroke patients but is not a direct complication of immobility.
B. Stiffness in the lower extremities could be a result of immobility, but pressure ulcers are a higher immediate concern.
C. Difficulty hearing some types of sounds is unrelated to immobility.
D. Immobility increases the risk of pressure ulcers, especially over bony prominences like the sacrum. A reddened area indicates potential early tissue damage due to prolonged pressure.

Correct Answer is B

Explanation

A. Using child-like statements may be demeaning and does not support effective communication. It is
important to speak at the client’s level and provide respect.
B. Incorporating nonverbal cues, such as gestures, facial expressions, and pictures, can help facilitate understanding and communication with a person who has aphasia.
C. Using a higher-pitched tone of voice does not aid comprehension and may be perceived as patronizing.
D. Asking multiple-choice questions is helpful, but it is not the most general approach. Using clear, simple language with nonverbal cues is more beneficial.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register