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.

Answer and Explanation

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).

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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.

A. manifests as neurofibrillary tangles and amyloid plaques that cause a disruption of brain impulses. B. is an inherited disorder that, most often, begins before the age of fifty C. can be caused by increased cerebral levels of acetylcholine D. causes unusual sensory sensations such as numbness and shooting pain (paresthesia)

Correct Answer is A

Explanation

A. Manifests as neurofibrillary tangles and amyloid plaques that cause a disruption of brain impulses: Alzheimer's disease is characterized by the accumulation of amyloid plaques and neurofibrillary tangles in the brain, leading to disrupted neural communication.

B. Is an inherited disorder that, most often, begins before the age of fifty: While there are inherited forms of Alzheimer's (early-onset), most cases are sporadic and occur after age 65.

C. Can be caused by increased cerebral levels of acetylcholine: Alzheimer's disease is associated with decreased levels of acetylcholine, not increased levels.

D. Causes unusual sensory sensations such as numbness and shooting pain (paresthesia): Paresthesia is not a typical symptom of Alzheimer's disease; it is more related to neurological or peripheral nerve disorders.

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Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?

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A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. The nurse notes that his skin and sclera are jaundiced. While reviewing his laboratory data, the nurse should expect to find a serum bilirubin level and a serum bilirubin level.

Correct Answer is B

Explanation

Alzheimer's disease (AD)

Correct Answer is A

Explanation

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