Which of the following would the nurse most likely expect to find when assessing a client diagnosed with a frontal lobe contusion (in the Broca's Area) following a motor vehicle accident?

Blurred vision

Difficulty speaking

Loss of tactile sensation

inability to hear high-pitched sounds

Answer and Explanation

The Correct Answer is B

A.   Blurred vision is generally associated with visual system issues, which involve the occipital lobe or the visual pathways rather than the frontal lobe. Broca’s area, located in the frontal lobe, is involved in speech production and not in vision processing.
B.   Difficulty speaking is a key symptom associated with damage to Broca’s area, which is located in the frontal lobe and responsible for speech production. A contusion in this area can lead to expressive aphasia, where the individual has trouble forming grammatically correct sentences and articulating words, while comprehension remains relatively intact.
C.   Loss of tactile sensation would generally be associated with damage to the parietal lobe, where the primary somatosensory cortex is located. The parietal lobe processes sensory information such as touch, temperature, and pain. Since Broca’s area is located in the frontal lobe and primarily deals with language production, loss of tactile sensation is not typically expected from a frontal lobe contusion affecting Broca's area.
D.   Inability to hear high-pitched sounds relates to issues with the auditory pathways or structures involved in hearing, such as the temporal lobe or the auditory cortex, not the frontal lobe. The frontal lobe and Broca’s area do not directly control auditory perception.

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Correct Answer is ["C","D","E","F"]

Explanation

A. Subcutaneous nodules are lumps or masses that can occur beneath the skin, sometimes seen in conditions like rheumatoid arthritis.
B. Crepitus refers to a crackling or popping sound heard or felt during joint movement. It is often associated with osteoarthritis or other joint conditions.
C. Warmth or increased temperature over the joint area is a common sign of inflammation. It occurs because inflammation increases blood flow to the affected area.
D. Swelling, or edema, is the accumulation of fluid in the joint space or surrounding tissues. It is a clear sign of inflammation and can be due to increased fluid production or leakage from blood vessels.
E. Redness, or erythema, around the joint is a result of increased blood flow to the area due to inflammation. It is often accompanied by warmth.
F. Tenderness refers to pain or discomfort in the joint area when touched or palpated. It indicates an inflammatory process in the joint.

A. Bursitis B. Meningitis C. Spondylitis D. Arthritis

Correct Answer is B

Explanation

A. Bursitis is the inflammation of the bursa, a small fluid-filled sac that reduces friction between bones and soft tissues. It typically causes localized pain and tenderness in the area of the bursa, often in the shoulders, elbows, or hips.

B. Meningitis is an infection or inflammation of the protective membranes covering the brain and spinal cord (the meninges). It often presents with symptoms such as fever, headache, neck stiffness, and photophobia. The neck stiffness, particularly difficulty flexing the head forward (nuchal rigidity), is a classic sign.
C. Spondylitis refers to inflammation of the spine. It can present with chronic back pain and stiffness but is typically associated with long-term symptoms rather than acute systemic symptoms like fever and chills. Conditions such as ankylosing spondylitis can cause chronic back pain and stiffness but are less likely to present with acute fever and headache.
D. Arthritis is inflammation of the joints and can cause pain, swelling, and stiffness in the affected joints. While arthritis can affect the neck (cervical spine arthritis), it typically does not present with systemic symptoms such as fever and chills unless there is an associated infection or inflammatory process.

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Which of the following would the nurse most likely expect to find when assessing a client diagnosed with a frontal lobe contusion (in the Broca's Area) following a motor vehicle accident?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a physical examination of the musculoskeletal system of a client who reports having joint pain. Which signs indicate there is inflammation in the joints? Select all that apply.

Correct Answer is ["C","D","E","F"]

Explanation

Correct Answer is B

Explanation

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