The nurse is providing care for a patient recently admitted with transient ischemic attack (TIA). Which of the following statements indicates that further teaching is required?"
a. "My risk for Alzheimer's disease is increased now, so I'll have to stop driving."
b. "The risk factors and symptoms of a TIA are just like those of a stroke."
c. "I recognize how important it is to take my anti-hypertension medications regularly."
d. "I need to stop smoking to help lower my chances of this happening again."
ANS: A
The risk factors, causes, and symptoms of a TIA are identical to a cerebrovascular accident (CVA). Patients who have had a TIA have an increased risk of having a stroke. Treatment, therefore, is mostly focused on minimizing the patient's risk factors for a stroke. Modifiable risk factors are those risks that can be changed by treatment, such as treating high blood pressure, or by lifestyle modification, such as stopping smoking. There is no association between TIA and the development of Alzheimer's disease.
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