A nurse is assessing a client who has had a left-hemisphere stroke. Which of the following findings should the nurse expect?
Expressive aphasia
Poor impulse control
Left hemiparesis
Disorientation to place
The Correct Answer is A
Choice A Reason:
Expressive aphasia, also known as Broca’s aphasia, is a common symptom of a left-hemisphere stroke. This condition affects the person’s ability to produce speech, although their comprehension may remain intact. The left hemisphere of the brain is typically responsible for language and speech functions, so damage to this area often results in expressive aphasia.
Choice B Reason:
Poor impulse control is more commonly associated with right-hemisphere strokes. The right hemisphere is involved in controlling behavior and emotions, so damage to this area can lead to impulsivity and poor judgment.
Choice C Reason:
Left hemiparesis, or weakness on the left side of the body, is typically a result of a right-hemisphere stroke. Strokes affect the opposite side of the body from the hemisphere where the stroke occurred. Therefore, a left-hemisphere stroke would more likely cause right-sided weakness or paralysis.
Choice D Reason:
Disorientation to place can occur with strokes affecting either hemisphere, but it is not a specific hallmark of left-hemisphere strokes. Cognitive impairments such as disorientation are more generalized and can result from various types of brain injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Respiratory therapy is not typically required for clients with chronic kidney disease unless they have concurrent respiratory issues. CKD primarily affects the kidneys and related systems, so respiratory therapy is not a standard referral for these patients.
Choice B Reason:
Hospice care is generally reserved for clients with terminal illnesses who are nearing the end of life. While CKD can be a serious condition, many clients manage it with appropriate treatment and lifestyle changes. Therefore, hospice care is not a standard referral for newly diagnosed CKD patients.
Choice C Reason:
Occupational therapy may be beneficial for clients with CKD who experience difficulties with daily activities due to fatigue or other symptoms. However, it is not the most immediate or essential referral upon initial diagnosis.
Choice D Reason:
Dietary services are crucial for clients with chronic kidney disease. Proper nutrition can help manage symptoms, slow disease progression, and improve overall health. A dietitian can provide personalized dietary plans to ensure the client avoids foods that may exacerbate their condition and includes those that support kidney health.
Correct Answer is D
Explanation
Choice A Reason:
The statement that “Your provider will use your digital rectal examination to perform the test” is incorrect. A fecal occult blood test (FOBT) typically involves collecting stool samples at home over several days, not during a digital rectal examination. The samples are then sent to a lab for analysis to detect hidden blood in the stool.
Choice B Reason:
The statement that “Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the bowel” is also incorrect. There is no need for a stimulant laxative before an FOBT. The test requires normal bowel movements to detect any hidden blood in the stool.
Choice C Reason:
The recommendation to “begin annual fecal occult blood testing for colorectal cancer screening at 40 years old” is not accurate. Current guidelines generally recommend starting colorectal cancer screening at age 45 for individuals at average risk. However, those with higher risk factors may need to start earlier, based on their healthcare provider’s advice.
Choice D Reason:
The statement “You should avoid taking corticosteroids prior to testing” is correct. Certain medications, including corticosteroids, can cause gastrointestinal bleeding, which may lead to false-positive results in an FOBT. Therefore, it is important to avoid these medications before the test, as advised by a healthcare provider.
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