Which assessment findings are expected in a patient experiencing a left hemispheric brain attack?
Hemiparesis of the left arm and leg with nystagmus.
Eyelid and mouth drooping on the ipsilateral side.
Homonymous hemianopia of the left visual field of both eyes.
Hemiparesis of the right arm and leg with aphasia
The Correct Answer is D
A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.
B. Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body.
C. Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia.
D. Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.
B. High conjugated, high direct: In cirrhosis and alcoholic liver disease, the liver's ability to process bilirubin is impaired, leading to elevated levels of both conjugated (direct) and unconjugated bilirubin, causing jaundice.
C. High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice.
D. Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.
Correct Answer is C
Explanation
A. A sudden, explosive, disorderly charge of neurons causes a transient aberration in brain function: This describes the pathophysiology of seizures, not myasthenia gravis.
B. Loss of the myelin sheath surrounding peripheral nerves causes asymmetric weakness: This describes multiple sclerosis, not myasthenia gravis.
C. Destruction of acetylcholine receptors causes muscle weakness with prolonged activity: Myasthenia gravis is an autoimmune disease where antibodies attack acetylcholine receptors at the neuromuscular junction, leading to muscle weakness, especially after repeated use.
D. A bacterial inflammatory illness that causes headache and photophobia: This describes meningitis, not myasthenia gravis.
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