NEUROLOGY – NCLEX QUESTIONS AND ANSWERS WITH CERTIFIED SOLUTIONS

Permissive Hypertension Phenomenon: After an acute ischemic stroke, the body senses the need for increased pressure to perfuse the penumbra (area of swollen and vulnerable but salvageable brain tissue) to keep the stroke from extending), autocorrects within 24 - 48 hours without treatment >220/120 mm Hg Blood pressure that would require treatment after ischemic stroke or hemorrhagic stroke labetalol [Normodyne], nicardipine [Cardene] IV antihypertensives that are often used if medication is required for acute stroke treatment; Blood pressure should be lowered cautiously by about 15% within the first 24 hours; Rapid blood pressure reduction may prolong the stroke Occupational Therapist Emphasizes the skills necessary for activities of daily living (eg, dressing, bathing, cognitive or perception issues; Above the waist