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To determine which client is at the highest risk for having an ischemic cerebral vascular accident (stroke), it's important to consider various risk factors associated with stroke. Some of the common risk factors include:
Hypertension (High Blood Pressure): Uncontrolled high blood pressure is one of the major risk factors for ischemic stroke.
Smoking: Smoking significantly increases the risk of stroke.
Diabetes: Poorly controlled diabetes can increase the risk of stroke.
High Cholesterol: High levels of cholesterol can lead to the buildup of plaques in the arteries, increasing the risk of stroke.
Obesity: Being overweight or obese can contribute to other risk factors such as high blood pressure and diabetes, thereby increasing the risk of stroke.
Physical Inactivity: Lack of physical activity can increase the risk of stroke.
Atrial Fibrillation: This heart condition can cause blood clots to form in the heart, which can then travel to the brain and cause a stroke.
Without specific information about the clients in question, it's difficult to determine which one is at the highest risk. However, if any of the clients have multiple risk factors such as uncontrolled hypertension, smoking, diabetes, and atrial fibrillation, they would be considered at higher risk for having an ischemic stroke. It's important for the nurse to assess each client's medical history, lifestyle factors, and current health status to identify those at increased risk and implement appropriate interventions for stroke prevention.
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