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    Nurs 230 Advanced Nursing Care Of The Early, Middle And Older Adult Proctored Exam

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    Question: 1 of 78Nurs 230 Advanced Nursing Care Of The Early, Middle And Older Adult Proctored Exam
    A patient is admitted with uncontrolled atrial fibrillation. The patient's medication history includes vitamin D supplements and calcium. What type of stroke is this patient at MOST risk for?
    Explanation
    Choice A reason: Ischemic thrombosis occurs when a blood clot forms within a diseased or damaged cerebral artery, often due to atherosclerosis. This patient’s primary risk factor is atrial fibrillation rather than localized arterial plaque rupture, making a thrombotic stroke less likely than one originating from a cardiac source or distant vessel. Choice B reason: Atrial fibrillation causes ineffective atrial contraction, leading to blood stasis and the formation of mural thrombi within the left atrial appendage. These clots can dislodge and travel through the systemic circulation to cerebral arteries. This embolic mechanism is the most common cause of stroke in patients with dysrhythmias. Choice C reason: Hemorrhagic stroke results from the rupture of a blood vessel, leading to intracranial bleeding. While anticoagulation therapy for atrial fibrillation increases hemorrhage risk, the arrhythmia itself specifically predisposes the patient to obstructive embolic events. There is no evidence of trauma, aneurysm, or hypertensive crisis provided in the stem. Choice D reason: Ischemic stenosis refers to the narrowing of a blood vessel, usually over a long period due to chronic inflammation and lipid deposition. While stenosis can reduce cerebral blood flow, it is a structural vessel change rather than an acute event triggered by the stasis of blood in the heart.
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