Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?
Vertigo and bilateral loss of the pupillary light reflex
Nuchal rigidity and positive Kernig's sign.
Report of falling down, nausea and vomiting.
Difficulty speaking and loss of coordination.
The Correct Answer is D
A. Vertigo and bilateral loss of the pupillary light reflex: Vertigo can occur with cerebellar involvement, but loss of the pupillary light reflex is more associated with brainstem damage.
B. Nuchal rigidity and positive Kernig's sign: These are signs of meningitis, not a cerebellar stroke.
C. Report of falling down, nausea, and vomiting: These symptoms can occur with cerebellar strokes, but they are nonspecific and can be seen in other conditions as well.
D. Difficulty speaking and loss of coordination: The cerebellum is responsible for coordination, and a cerebellar stroke can lead to ataxia (loss of coordination) and dysarthria (difficulty speaking).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Colon polyps: Colon polyps are not treated with antibiotics or antacids and are unrelated to Helicobacter pylori infection.
B. Atrophic gastritis: Atrophic gastritis involves chronic inflammation and thinning of the stomach lining and is not typically treated with antibiotics for Helicobacter pylori.
C. Intussusception of the small bowel: Intussusception is a condition where part of the intestine telescopes into itself and is not related to Helicobacter pylori.
D. Peptic ulcer disease: Peptic ulcer disease, especially gastric or duodenal ulcers, is commonly associated with Helicobacter pylori infection, which is treated with antibiotics and antacids.
Correct Answer is A
Explanation
A. Ischemia of the brain tissue is causing cellular injury, swelling, and malfunction of the contralateral side: Hemiparesis occurs on the side opposite to the brain lesion due to the crossing (decussation) of motor pathways.
B. The functioning of the right cranial nerve controlling facial movement is compromised by cerebral edema: While facial nerve involvement can cause drooping, the hemiparesis suggests a central (brain) rather than peripheral issue.
C. The sensorimotor tracts leading from the brain to the body decussate and control the arm and leg on the same side as the lesion: This is incorrect because the tracts control the contralateral side of the body.
D. The corticospinal tracts leading from the brain to the body decussate and control the ipsilateral arm and leg: This is incorrect; the corticospinal tracts control the contralateral side.
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