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 D
Explanation
A. Obesity, age over 40, and female gender: While obesity and age can be risk factors for GERD, gender alone is not a significant factor. Excessive alcohol consumption, as indicated in option D, is a stronger link to GERD.
B. Accelerated gastric emptying: This is incorrect. GERD is more commonly associated with delayed gastric emptying or increased acid production rather than accelerated gastric emptying.
C. Incompetent rectal sphincter: This is incorrect. GERD is associated with an incompetent lower esophageal sphincter, not the rectal sphincter.
D. Drinking 12 cans of beer per day: Excessive alcohol consumption can relax the lower esophageal sphincter and increase the risk of GERD by allowing stomach acid to flow back into the esophagus.
Correct Answer is A
Explanation
A. Positive Brudzinski's sign: A positive Brudzinski's sign, which involves involuntary flexion of the hips and knees when the neck is flexed, is a common finding in meningitis (both viral and bacterial).
B. Dysarthria and double vision: These symptoms are not typical of viral meningitis; they are more often associated with neurological disorders such as multiple sclerosis.
C. Petechiae and purpura: These are more commonly associated with bacterial meningitis, particularly meningococcal meningitis, rather than viral meningitis.
D. Positive Babinski's reflex: A positive Babinski’s reflex indicates an upper motor neuron lesion and is not specific to meningitis.
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