Clinical Nurse Leader Practice Exam

In the context of implementing a clinical pathway for acute ischemic stroke, which factor is NOT an independent stroke risk factor?

1. Age

2. Systolic BP

3. Liver dysfunction

4. Current smoking

The correct answer is: Liver dysfunction

In assessing independent risk factors for acute ischemic stroke, liver dysfunction does not qualify as an established independent risk factor. While liver dysfunction can have numerous health ramifications and may be associated with certain conditions like atrial fibrillation that can increase stroke risk, it is not traditionally recognized as a direct risk factor for stroke. In contrast, age is widely known to be a crucial risk factor, as stroke incidence increases with advancing age. Similarly, systolic blood pressure is a well-documented risk factor; elevated systolic blood pressure significantly raises the likelihood of experiencing a stroke. Current smoking is also a recognized independent risk factor for ischemic stroke, as it contributes to atherosclerosis and other vascular conditions. Understanding these distinctions is vital for clinical decision-making, especially when implementing clinical pathways for the management of acute ischemic stroke, as they allow for better identification and mitigation of risk factors in patient care.