SCRN Pharmacological Management 2

Question 1

A stroke patient on warfarin has an INR of 3.2 and presents with acute ischemic stroke. Which reversal agent is recommended?

Accepted Answer

4-factor prothrombin complex concentrate (PCC)

Answer

Fresh frozen plasma alone

Answer

Vitamin K only

Answer

Protamine sulfate

Question 2

Which medication is specifically used to reverse dabigatran (a direct thrombin inhibitor) in acute hemorrhagic stroke?

Accepted Answer

Idarucizumab (Praxbind)

Answer

Andexanet alfa

Answer

Protamine sulfate

Answer

Vitamin K

Question 3

A patient with hemorrhagic stroke has been taking apixaban. Which reversal agent should the nurse anticipate administering?

Accepted Answer

Andexanet alfa

Answer

Idarucizumab

Answer

Protamine sulfate

Answer

Fresh frozen plasma

Question 4

Nimodipine is administered after subarachnoid hemorrhage primarily to prevent which complication?

Accepted Answer

Cerebral vasospasm

Answer

Rebleeding

Answer

Hydrocephalus

Answer

Seizures

Question 5

A stroke patient develops symptomatic cerebral edema. Which osmotic agent is commonly used to reduce intracranial pressure?

Accepted Answer

Mannitol

Answer

Furosemide

Answer

Dexamethasone

Answer

Normal saline

Question 6

Which antiepileptic drug is most commonly used as prophylaxis or treatment for seizures in the early post-stroke period?

Accepted Answer

Levetiracetam

Answer

Phenobarbital

Answer

Valproic acid

Answer

Carbamazepine

Question 7

A patient with ischemic stroke develops elevated glucose of 210 mg/dL. What is the recommended glucose management approach?

Accepted Answer

Treat hyperglycemia with insulin to maintain glucose 140–180 mg/dL

Answer

Allow permissive hyperglycemia up to 250 mg/dL

Answer

Administer dextrose to avoid hypoglycemia

Answer

No glucose treatment required in acute stroke