A nurse is caring for a client who has suffered a stroke involving the left hemisphere. Which of the following alterations in function are consistent with this type of stroke?

Slow cautious behaviors.

Loss of depth perception.

Overestimation of abilities.

Hemianopsia.

Answer and Explanation

The Correct Answer is D

Choice A reason: This is incorrect because slow cautious behaviors are more consistent with a stroke involving the right hemisphere. The right hemisphere controls spatial awareness, creativity, and intuition. A stroke affecting this hemisphere can cause impulsivity, poor judgment, and denial of deficits.

Choice B reason: This is incorrect because loss of depth perception is more consistent with a stroke involving
the right hemisphere. The right hemisphere controls visual-spatial perception, which includes depth perception, distance estimation, and object recognition. A stroke affecting this hemisphere can cause difficulty in navigating space, judging distances, and identifying objects.

Choice C reason: This is incorrect because the overestimation of abilities is more consistent with a stroke involving
the right hemisphere. The right hemisphere controls emotional regulation, self-awareness, and insight. A stroke affecting this hemisphere can cause euphoria, lack of insight, and unrealistic expectations.

Choice D reason: This is the correct answer because hemianopsia is consistent with a stroke involving
the left hemisphere. The left hemisphere controls language, logic, and analysis. A stroke affecting this hemisphere can cause hemianopsia, which is the loss of vision in half of the visual field. This can affect reading, writing, and communication skills.

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Correct Answer is C

Explanation

Choice A reason: This is incorrect because education about mastoidectomy is not relevant for a client with an upper respiratory infection. Mastoidectomy is a surgical procedure that removes part or all of the mastoid bone behind the ear, which can become infected or inflamed due to chronic or recurrent middle ear infections. The nurse should assess
the client's ear for signs of mastoiditis, such as swelling, tenderness, or redness behind the ear, but mastoidectomy is not a common or first-line treatment for upper respiratory infection.
Choice B reason: This is incorrect because a referral for a hearing test is not necessary for a client with an upper respiratory infection. Hearing test is a diagnostic tool that measures how well a person can hear different sounds at different frequencies and intensities. The nurse should ask the client about any changes in hearing or tinnitus, which are possible complications of upper respiratory infection, but a hearing test is not a routine or urgent intervention for this condition.
Choice C reason: This is correct because education on the administration of oral antibiotics can help treat an upper respiratory infection. Antibiotics are drugs that kill or inhibit bacteria that cause infections. Upper respiratory infections can be caused by various pathogens, such as viruses, bacteria, or fungi, but bacterial infections are more likely to cause fever, otalgia, or purulent nasal drainage. The nurse should instruct the client on how to take antibiotics as prescribed, such as dosage, frequency, duration, side effects, and interactions.
Choice D reason: This is incorrect because a prescription for an antifungal cream is not appropriate for a client with an upper respiratory infection. Antifungal cream is a topical medication that kills or inhibits fungi that cause skin infections. Upper respiratory infection is not a skin infection, but an infection of the nose, throat, or sinuses. Antifungal cream has no effect on upper respiratory infection and may cause adverse effects or resistance.

A. A 40 year old female who drives a motorcycle B. A pregnant female who has high blood pressure C. A 18 year old male who smokes and has a family history of brain cancer D. A 65 year old male client who golfs 3 times a week and drives a golf cart

Correct Answer is A

Explanation

Choice A Reason: This is the correct choice because driving a motorcycle is a high-risk activity that can expose the client to head trauma, especially if they do not wear a helmet. Traumatic brain injury (TBI) is a condition where the brain is damaged by an external force, such as a collision, fall, or assault.

Choice B Reason: This is incorrect because having high blood pressure is not a direct risk factor for traumatic brain injury. High blood pressure can increase the risk of stroke, which is a condition where the brain is damaged by an internal cause, such as a blood clot or hemorrhage.

Choice C Reason: This is incorrect because smoking and having a family history of brain cancer are not risk factors for traumatic brain injury. Smoking and genetic factors can increase the risk of developing brain tumors, which are abnormal growths of cells in the brain.

Choice D Reason: This is incorrect because golfing and driving a golf cart are low-risk activities that do not pose a significant threat to the client's head. Golfing and driving a golf cart may cause minor injuries, such as sprains, strains, or bruises, but not traumatic brain injury.

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A nurse is caring for a client who has suffered a stroke involving the left hemisphere. Which of the following alterations in function are consistent with this type of stroke?

Nursing Test Bank

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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