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 D

Explanation

Choice A reason: This is incorrect because laceration is not an acute traumatic brain injury, but a type of wound that involves tearing or cutting of the skin or other tissues. Laceration can occur as a result of a motor vehicle accident, but it does not cause changes in the GCS or pupil size. The nurse should assess the client's skin for any signs of laceration, such as bleeding, swelling, or infection.
Choice B reason: This is incorrect because acute subdural hematoma is not likely to cause a dilated pupil on the left side. Acute subdural hematoma is a type of traumatic brain injury that involves bleeding between the dura mater and the arachnoid mater, which are two layers of the meninges that cover the brain. An acute subdural hematoma can cause a rapid decrease in the GCS, but it usually causes a dilated pupil on the same side as the injury, not on the opposite side.
Choice C reason: This is incorrect because intracerebral hemorrhage is not likely to cause a dilated pupil on the left side. Intracerebral hemorrhage is a type of traumatic brain injury that involves bleeding within the brain tissue itself. Intracerebral hemorrhage can cause a gradual decrease in the GCS, but it usually causes neurological deficits that correspond to the location of the bleeding, such as weakness, numbness, or aphasia, not pupillary changes.
Choice D reason: This is correct because epidural hematoma can cause a dilated pupil on the left side. Epidural hematoma is a type of traumatic brain injury that involves bleeding between the dura mater and the skull. Epidural hematoma can cause a lucid interval, which is a period of normal consciousness followed by a sudden decrease in the GCS, and a dilated pupil on the opposite side of the injury, due to compression of the third cranial nerve. The nurse should notify the provider immediately and prepare for emergency surgery.

A. Place food trays on the left side of the client. B. Place food trays on the right side of the client. C. Perform a focused visual exam. D. Have the assistive personnel feed all meals to the client.

Correct Answer is A

Explanation

Choice A reason: This is the correct answer because right-sided homonymous hemianopsia means that the client has lost vision in the right half of both eyes, so placing food trays on the left side of the client will help them see and access their food better.

Choice B reason: This is incorrect because placing food trays on the right side of the client will make it harder for them to see and reach their food, as they have no vision on that side.

Choice C reason: This is incorrect because performing a focused visual exam is not an appropriate action for the nurse to take during meal time. The nurse should assess the client's vision before or after meals, but not interfere with their eating.

Choice D reason: This is incorrect because having the assistive personnel feed all meals to the client will decrease their independence and dignity, as well as their ability to practice using their unaffected side. The nurse should encourage and assist the client to feed themselves as much as possible, and only provide assistance when needed.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A client who recently suffered a stroke suffers from right-sided homonymous hemianopsia. What is the best action for the nurse to take when caring for the client during mealtime?

Correct Answer is A

Explanation

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