ATI RN Pharmacology 2019 III | Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Manifestations preceded by a severe headache. A ruptured cerebral aneurysm typically presents with a sudden, severe headache, which is known as a thunderclap headache. This headache is often described as the worst headache the individual has ever experienced. It is a key characteristic of hemorrhagic strokes caused by an aneurysmal rupture. This sudden onset of a severe headache is due to the leakage of blood into the brain, causing increased pressure and irritation of the meninges. Other choices are incorrect because a history of neurologic deficits lasting less than 1 hour (choice
A) is more indicative of a transient ischemic attack rather than a hemorrhagic stroke. Gradual onset of several hours (choice
C) is more typical of an ischemic stroke. Maintaining consciousness (choice
D) is not specific to hemorrhagic strokes as consciousness can vary depending on the severity of the bleed.

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