A client is admitted to the hospital with the diagnosis of a right-sided brain attack (CVA). The client is right-handed. Which task will be most difficult for this client?
Dressing in the morning
Writing letters
Combing hair
Eating meals
The Correct Answer is B
Choice A reason: Dressing involves both sides but can be adapted with the left hand; right-sided CVA impairs left-side function, less affecting dominant right-hand tasks.
Choice B reason: Writing, a fine motor skill, relies on the dominant right hand, controlled by the left brain; right-sided CVA disrupts this, making it most difficult.
Choice C reason: Combing hair uses gross motor skills, manageable with the left hand despite right-sided CVA’s left-sided weakness, less challenging than writing.
Choice D reason: Eating uses the right hand but can be adjusted with utensils or left-hand assistance; it’s less precise than writing, so less impacted.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Hydroxychloroquine treats autoimmune diseases like lupus by modulating immunity, not hyperthyroidism’s excess thyroid hormone production, irrelevant here.
Choice B reason: Levothyroxine supplements thyroid hormone in hypothyroidism, worsening this patient’s hyperthyroidism (high T3/T4), contraindicated for her symptoms.
Choice C reason: Potassium iodide inhibits thyroid hormone release, reducing T3 and T4 in hyperthyroidism (e.g., Graves’), addressing her goiter, exophthalmos, and weight loss effectively.
Choice D reason: Methotrexate suppresses immunity in cancer or autoimmunity, not targeting thyroid overactivity or hormone levels, unsuitable for hyperthyroidism management.
Correct Answer is D
Explanation
Choice A reason: Diphenhydramine, an antihistamine, treats allergies or sleep issues by blocking histamine, not addressing heart failure’s fluid overload or cardiac dysfunction.
Choice B reason: Epinephrine boosts heart rate and pressure in emergencies like anaphylaxis, but it worsens heart failure by increasing cardiac workload, not reducing fluid.
Choice C reason: Propylthiouracil treats hyperthyroidism by inhibiting thyroid hormone, unrelated to heart failure’s need for fluid management or cardiac support.
Choice D reason: Furosemide, a loop diuretic, reduces fluid overload in heart failure by increasing urine output, relieving pulmonary edema and systemic congestion effectively.
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