A nurse is assessing a client experiencing motor loss as the result of a left-sided stroke.
Which clinical manifestations would the nurse document?
Hemiparesis of the right side of the body and ataxia.
Spasticity of the client's left arm and apraxia.
Impulsive behavior and hostility toward family.
Homonymous hemianopia and diplopia.
The Correct Answer is A
Choice A rationale
Hemiparesis on the right side and ataxia are common manifestations of left-sided stroke, where the motor cortex affecting the contralateral side is impaired, leading to muscle weakness and coordination loss.
Choice B rationale
Spasticity of the left arm suggests motor impairment on the ipsilateral side, which is inconsistent with the nature of left-sided strokes affecting the contralateral side. Apraxia lacks relation to motor loss here.
Choice C rationale
Impulsive behavior and hostility are more indicative of frontal lobe involvement, not motor loss secondary to left-sided strokes. These behaviors do not represent motor manifestations.
Choice D rationale
Visual defects like homonymous hemianopia and diplopia may occur in stroke but are not direct indicators of motor loss. They relate to occipital lobe or optic pathway damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Metoprolol decreases cardiac workload by reducing heart rate and myocardial oxygen demand. A heart rate of 62 is within normal limits, demonstrating effective beta-blocker action and improved cardiac efficiency.
Choice B rationale
Lying flat without difficulty breathing reflects improved respiratory status, which is more related to pulmonary management, not directly indicative of reduced cardiac workload or beta-blocker efficacy.
Choice C rationale
Absence of dyspnea after climbing stairs suggests improved physical fitness but does not directly measure the cardiac effects of metoprolol, which targets heart rate reduction and myocardial oxygen use.
Choice D rationale
Weight loss is related to overall health improvement or dietary changes rather than specific effects of metoprolol, which primarily impacts heart rate and cardiac oxygen consumption.
Correct Answer is B
Explanation
Choice A rationale
Susceptible host pertains to the individual's vulnerability to an infectious agent, but handwashing targets the mode of transmission rather than addressing susceptibility or the infectious agent directly.
Choice B rationale
Handwashing interrupts the mode of transmission, preventing pathogens from reaching a portal of entry. This action disrupts the chain of infection and reduces pathogen spread effectively.
Choice C rationale
The infectious agent and reservoir focus on pathogen origination rather than its transfer. Handwashing reduces spread but does not directly address pathogen survival within reservoirs.
Choice D rationale
Portal of exit involves the pathogen leaving the host's body, not its transfer. Handwashing reduces pathogen transmission, specifically addressing its ability to reach a new host.
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