A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.
Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body.
Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia.
Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.
The Correct Answer is A
A. The patient is now sleepy and won't wake up: Increased drowsiness or difficulty waking up could indicate worsening of the hemorrhagic stroke, potentially due to increased intracranial pressure or a secondary brain injury.
B. Identification of an elevated serum cholesterol level: Elevated cholesterol is a risk factor for ischemic strokes but is not a direct indicator of complications from a hemorrhagic stroke.
C. The presence of nausea and a headache: This could be a common symptom following a hemorrhagic stroke but is not necessarily a specific indicator of a complication.
D. A complaint of neck pain and light intolerance: These symptoms are less specific to complications of a hemorrhagic stroke and could be related to other issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The brain cells became edematous because of a blood to tissue shift of fluid: This describes cerebral edema, which is not typically caused by hyperglycemia.
B. Hyperinsulinemia caused hypoglycemia and a tonic-clonic seizure: The scenario describes hyperglycemia, not hypoglycemia.
C. The brain cells became dehydrated because of fluid shifting out of the cells:. In hyperglycemic hyperosmolar syndrome (HHS), extremely high blood glucose leads to increased serum osmolality, causing water to move out of brain cells, leading to dehydration and altered consciousness.
D. Fluid volume overload caused higher pressure in the brain tissue: Fluid volume overload is not the primary issue in this scenario; rather, dehydration is the concern due to hyperglycemia.
Correct Answer is D
Explanation
A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.
B. Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body.
C. Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia.
D. Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.
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