A 45-year-old man on the neurology floor can understand instructions but is unable to express himself through talking. Which lobe of the brain controls the expression of speech?

Frontal lobe

Occipital lobe

Temporal lobe

Parietal lobe

Answer and Explanation

The Correct Answer is A

Choice A rationale: The frontal lobe, specifically Broca's area located in the dominant hemisphere, is responsible for expressive speech. Damage to this area can result in expressive aphasia or difficulty expressing speech.

Choice B rationale: The occipital lobe primarily processes visual information.

Choice C rationale: The temporal lobe is involved in auditory processing and language comprehension.

Choice D rationale: The parietal lobe is involved in spatial perception, attention, and sensory information processing.

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Correct Answer is C

Explanation

Choice A rationale: A client with nausea, vomiting, and abdominal pain may have gastroenteritis, food poisoning, or appendicitis, which are not directly related to the eyes.

Choice B rationale: A client with chest tightness and heartburn may have gastroesophageal reflux disease (GERD), angina, or myocardial infarction (MI), which are also not associated with the eyes.

Choice C rationale: A client with facial drooping and left-sided weakness may have a stroke, which is a medical emergency that requires immediate attention. An eye examination can help detect signs of stroke, such as pupil asymmetry, visual field defects, or eye movement abnormalities. A stroke can cause permanent brain damage or death if not treated promptly.

Choice D rationale: A client with fatigue, fever, and productive cough may have a respiratory infection, such as pneumonia or tuberculosis, which are unlikely to affect the eyes unless there is a systemic complication.

A. "To end the collection, I must empty my bladder, adding it to the collection." B. "I should keep the urine container cool in a separate refrigerator or cooler." C. "I should not eat any protein when I am collecting urine for this test." D. "I won't save the first urine when the collection time starts."

Correct Answer is C

Explanation

Choice A rationale: This statement is correct; it's important to include the final voided urine in the collection.

Choice B rationale: Proper storage at a cool temperature helps maintain the integrity of the collected urine.

Choice C rationale: Avoiding protein intake during the collection can significantly alter the results of the creatinine clearance test. Eating a regular diet is important to maintain accurate test results.

Choice D rationale: Discarding the first void and starting the collection afterward is a common practice in 24-hour urine collections to ensure a complete sample.

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A 45-year-old man on the neurology floor can understand instructions but is unable to express himself through talking. Which lobe of the brain controls the expression of speech?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client should receive the pictured examination first?

Correct Answer is C

Explanation

A patient received teaching about the correct procedure in a 24-hour urine collection for creatinine clearance test. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

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