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 A

Explanation

A. Decreasing environmental stimuli can help reduce the risk of seizures and further stress on the patient. This is especially important in cases of meningitis, as the patient may be more sensitive to light, sound, and touch.
B. A vascular assessment is important but not the next immediate action in this scenario.
C. Administering an antipyretic is important but not the priority action right after implementing droplet precautions.
D. Assessing cranial nerves may be necessary later in the assessment but is not the immediate next step.

A. Blepharitis B. Retinal detachment C. Allergic conjunctivitis D. Cataract

Correct Answer is A

Explanation

A. Blepharitis is an inflammation of the eyelid margin causing symptoms such as itching, irritation, light intolerance, and crusting.
B. Retinal detachment involves sudden visual disturbances such as flashes of light or a curtain-like shadow, not itching or crusting.
C. Allergic conjunctivitis involves redness, itching, and watery discharge, not crusty debris on the lid margins.
D. Cataracts lead to blurred vision and glare, not irritation or crusting.

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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

Correct Answer is A

Explanation

Which visual disorder would the nurse associate with the patient's clinical manifestations of itching, irritation, intolerance of light, and crusty debris of the lid margins and lashes?

Correct Answer is A

Explanation

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