Which data point most directly identifies a modifiable stroke risk factor in this patient?

• A. The client’s daily exercise improves risk
• B. The client’s blood pressure runs about 170/96
• C. The client’s cholesterol is normal
• D. The client’s family history is unknown

Answer: (B)

Elevated blood pressure is the data point that most directly identifies a modifiable stroke risk factor. Hypertension is a major, well-established risk factor for both ischemic and hemorrhagic stroke, and it is specifically modifiable through medications, lifestyle changes, and weight management. A reading around 170/96 indicates uncontrolled hypertension, signaling a current risk that can be reduced with appropriate treatment and lifestyle modifications.

The other points don’t point to a present modifiable risk in the same way: exercising regularly is a protective behavior that lowers risk, not a risk factor itself; normal cholesterol suggests cholesterol is not contributing as a risk factor at this time; and an unknown family history is a non-modifiable factor, not something you can change.