A client is admitted to the emergency room with a head injury. The client denies a previous history of seizures or head injury. What would the nurse most likely find when assessing a client diagnosed with a frontal lobe contusion following a motor vehicle accident?
Loss of tactile sensation
Difficulty speaking
Blurred vision
Inability to hear high-pitched sounds
The Correct Answer is B
Choice A reason: Loss of tactile sensation ties to parietal lobe damage, not frontal. A frontal contusion affects executive function and speech, not sensory processing, making this finding less likely given the injury’s location in this trauma scenario fully.
Choice B reason: Difficulty speaking, like Broca’s aphasia, is common with frontal lobe contusions, as this area houses speech production centers. Post-accident, this aligns with damage to motor speech pathways, making it the most probable finding here accurately.
Choice C reason: Blurred vision relates to occipital or optic nerve injury, not frontal lobe. A contusion here impacts cognition or speech, not visual processing, rendering this less expected than speech issues in this head injury context entirely.
Choice D reason: Inability to hear high-pitched sounds involves cranial nerve VIII or temporal lobe, not frontal. This contusion affects behavior and speech, not auditory function, excluding this as a primary finding in this frontal damage case fully.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Food restrictions identify allergies or preferences, but not intake patterns. This limits nutritional status insight, missing recent consumption data critical for assessing current health, making it less foundational for this initial evaluation fully here.
Choice B reason: A 24-hour recall details recent intake, offering a snapshot of diet quality and quantity. This directly informs nutritional status, habits, and deficits, making it the most appropriate starting question for a comprehensive assessment accurately here.
Choice C reason: Family obesity history suggests genetic risk, not the client’s nutrition. This indirect data lacks specificity on current intake, rendering it less useful than a direct dietary recall for this nutritional assessment entirely and fully here.
Choice D reason: Meal frequency provides structure, not content or quality. It’s less informative than a 24-hour recall, which captures specifics of what’s eaten, making it secondary for initiating a detailed nutritional evaluation comprehensively here fully.
Correct Answer is A
Explanation
Choice A reason: Auscultating for bowel sounds in the scrotum detects an inguinal hernia, where intestines protrude after coughing. This confirms the mass’s nature, making it the best method to assess this sudden scrotal enlargement accurately and directly here.
Choice B reason: Inspecting femoral hernia focuses on the thigh, not scrotum. Scrotal masses from coughing suggest inguinal hernia, misaligning this with the primary site, rendering it less effective for this specific assessment entirely and fully here.
Choice C reason: Standing may reduce some hernias, but disappearance isn’t diagnostic. Cough-induced scrotal mass needs auscultation for bowel sounds to confirm hernia, making this less precise than listening for intestinal presence comprehensively here fully.
Choice D reason: Abdominal palpation for pain assesses tenderness, not hernia type. Scrotal mass from coughing points to inguinal hernia, where auscultation directly identifies bowel, making this less specific for the scrotal finding entirely here fully.
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