NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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What is the primary intervention in hemorrhagic stroke (ICH)?

Elevate head of bed by 30 degrees
Administer oral anticoagulants
Immediate surgery
Physical therapy

The correct answer is: Elevate head of bed by 30 degrees

Hemorrhagic stroke (ICH) is characterized by bleeding in the brain, and it is a medical emergency that requires immediate intervention. The primary intervention for hemorrhagic stroke is to elevate the head of the bed by 30 degrees. This position helps to reduce intracranial pressure and prevent further bleeding. Administering oral anticoagulants, such as warfarin or aspirin, would be contraindicated as they can worsen bleeding. Immediate surgery may be necessary in some cases, but it is not the primary intervention. Physical therapy is not recommended in the acute phase of hemorrhagic stroke and may be started once the patient is stable.