Patho Patho #66

Question

Who is at the highest risk for a cerebral vascular accident?

Answers

  1. A 19 year old Caucasian female who smokes and takes birth control.
    • Rationale:

      This answer choice is not correct as this client only has two risk factors for CVA: smoking and oral contraceptives.

  2. A 42 year old Hispanic female with a history of atrial fibrillation.
    • Rationale:

      This answer choice is not correct as this client only has two risk factors for CVA: Race and atrial fibrillation.

  3. A 70 year old African American male who takes anti-hypertensive medication and smokes.
    • Rationale:

      This answer is correct as this client has a total of four risk factors for CVA which is the most of any of the clients listed.

  4. A 40 year old African American female with a history of acid reflux and smokes occasionally.
    • Rationale:

      This answer choice is not correct as this client only has two risk factors for CVA: Race and smoking.

Overview

The focus of this question is asking the nurse to identify the client who has the most risk factors for cerebral vascular accident (CVA). RIsk factors for CVA include smoking, advanced age, hypertension, obesity, sedentary lifestyle, African American race, and atrial fibrillation. The 70 year old African American client has the most risk factors for CVA of all the clients listed.

Explanation

Learning Outcomes

When answering risk factor questions, count risk factors for each client listed before selecting an answer. The 70 year old, African-American client who smokes and takes anti-hypertensive medications has a total of four risk factors for CVA: Race, age, hypertension, and smoking.

Test Taking Tip

Always count risk factors for each client, add them up, and choose the client with the most risk factors for the disease process in question.

Video Rationale