Which stroke risk factor for a 48-year-old male patient in the ...

[mwit1967]

Which stroke risk factor for a 48-year-old male patient in the clinic is most important for the nurse to address?
 
  a. The patient is 25 pounds above the ideal weight.
  b. The patient drinks a glass of red wine with dinner daily.
  c. The patient's usual blood pressure (BP) is 170/94 mm Hg.
  d. The patient works at a desk and relaxes by watching television.

Question 2

A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours. The nurse will anticipate teaching the patient about
 
  a. alteplase (tPA).
  b. aspirin (Ecotrin).
  c. warfarin (Coumadin).
  d. nimodipine (Nimotop).

[heinisk01]

Answer to Question 1

ANS: C
Hypertension is the single most important modifiable risk factor. People who drink more than 1 (for women) or 2 (for men) alcoholic beverages a day may increase risk for hypertension. Physical inactivity and obesity contribute to stroke risk but not as much as hypertension.

Answer to Question 2

ANS: B
Following a transient ischemic attack (TIA), patients typically are started on medications such as aspirin to inhibit platelet function and decrease stroke risk. tPA is used for acute ischemic stroke. Coumadin is usually used for patients with atrial fibrillation. Nimodipine is used to prevent cerebral vasospasm after a subarachnoid hemorrhage.

[mwit1967]

Thank you

[heinisk01]

Happy to help you