A nurse is performing a neurological assessment on a client who has ischemic stroke affecting the left cerebral hemisphere. The nurse asks the client to name an object that the nurse points to, but the client does not respond verbally. The nurse interprets this as a sign of which of the following types of aphasia?

Expressive aphasia

Receptive aphasia

Global aphasia

Anomic aphasia

Answer and Explanation

The Correct Answer is B

Choice A reason:

This is incorrect because expressive aphasia is a type of aphasia that affects the ability to produce speech, but not to comprehend it. A client with expressive aphasia would be able to respond verbally, but with difficulty or errors.

Choice B reason:

This is the correct answer because receptive aphasia is a type of aphasia that affects the ability to comprehend speech, but not to produce it. A client with receptive aphasia would not be able to respond verbally, as they do not understand what is being asked.

Choice C reason:

This is incorrect because global aphasia is a type of aphasia that affects both the ability to produce and comprehend speech. A client with global aphasia would not be able to respond verbally or nonverbally, as they have no language function.

Choice D reason:

This is incorrect because anomic aphasia is a type of aphasia that affects the ability to recall specific words or names, but not the general ability to produce or comprehend speech. A client with anomic aphasia would be able to respond verbally, but with pauses or substitutions.

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Correct Answer is C

Explanation

Choice A reason:

This is incorrect because wearing tight-fitting shoes can cause pressure ulcers, blisters, or infections in clients with peripheral neuropathy, who have reduced sensation and blood flow in their feet. The nurse should advise the client to wear well-fitting shoes with cushioned socks and avoid walking barefoot.

Choice B reason:

This is incorrect because using a heating pad can cause burns or skin damage in clients with peripheral neuropathy, who have impaired temperature perception and pain sensation in their affected areas. The nurse should advise the client to avoid exposure to extreme heat or cold and use other methods to relieve pain, such as medications, massage, or acupuncture.

Choice C reason:

This is the correct answer because inspecting the skin daily for cuts, blisters, or ulcers can help prevent infection and complications in clients with peripheral neuropathy, who have reduced sensation and healing ability in their affected areas. The nurse should advise the client to wash their skin with mild soap and water, apply moisturizer, and report any signs of infection to their provider.

Choice D reason:

This is incorrect because taking vitamin B supplements can help prevent or treat peripheral neuropathy caused by vitamin B deficiency, which can occur in clients who receive chemotherapy. The nurse should advise the client to consult with their provider before taking any supplements and follow a balanced diet that includes foods rich in vitamin B, such as meat, eggs, dairy products, and fortified cereals.

A. "I can move my arm and leg on the affected side better than before." B. "I can speak more clearly and understand what others are saying." C. "I can swallow without choking or coughing." D. All of the above.

Correct Answer is D

Explanation

Choice A reason:

This is correct because improved movement of the arm and leg on the affected side indicates an improvement in motor function, which can be impaired by ischemic stroke.

Choice B reason:

This is correct because improved speech and comprehension indicate an improvement in language function, which can be impaired by ischemic stroke, especially if it affects the dominant hemisphere.

Choice C reason:

This is correct because improved swallowing indicates an improvement in cranial nerve function, which can be impaired by ischemic stroke, especially if it affects the brainstem.

Choice D reason:

This is correct because all of the above statements indicate an improvement in functional recovery, which is the goal of rehabilitation for clients who have ischemic stroke.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who has peripheral neuropathy due to chemotherapy. The nurse should include which of the following instructions in the teaching plan?

Correct Answer is C

Explanation

A nurse is evaluating the outcomes of a client who has ischemic stroke and has received rehabilitation. Which of the following statements by the client indicates an improvement in functional recovery?

Correct Answer is D

Explanation

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A nurse is teaching a client who has peripheral neuropathy about foot care. Which of the following statements by the client indicates an understanding of the teaching?