A client is admitted to the emergency room with a head injury. The client denies a previous history of seizures or head injury. What would the nurse most likely find when assessing a client diagnosed with a frontal lobe contusion following a motor vehicle accident?

Loss of tactile sensation

Difficulty speaking

Blurred vision

Inability to hear high-pitched sounds

Answer and Explanation

The Correct Answer is B

Choice A reason: Loss of tactile sensation ties to parietal lobe damage, not frontal. A frontal contusion affects executive function and speech, not sensory processing, making this finding less likely given the injury’s location in this trauma scenario fully.
Choice B reason: Difficulty speaking, like Broca’s aphasia, is common with frontal lobe contusions, as this area houses speech production centers. Post-accident, this aligns with damage to motor speech pathways, making it the most probable finding here accurately.
Choice C reason: Blurred vision relates to occipital or optic nerve injury, not frontal lobe. A contusion here impacts cognition or speech, not visual processing, rendering this less expected than speech issues in this head injury context entirely.
Choice D reason: Inability to hear high-pitched sounds involves cranial nerve VIII or temporal lobe, not frontal. This contusion affects behavior and speech, not auditory function, excluding this as a primary finding in this frontal damage case fully.

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Correct Answer is D

Explanation

Choice A reason: Bilateral malalignment implies both eyes misalign variably, but esotropia specifies inward deviation, often unilateral. This vague term doesn’t match the precise diagnosis of esotropia present for five years, making it less expected here fully.
Choice B reason: Left eye turning outward is exotropia, not esotropia, which turns inward. This contradicts the client’s documented condition, misaligning with the expected inward deviation from cranial nerve VI or muscle imbalance entirely and accurately here.
Choice C reason: Oscillating eyes suggest nystagmus, not esotropia’s fixed inward turn. Esotropia is static misalignment, not rhythmic movement, excluding this as the priority finding for this client’s established eye condition in this exam fully here.
Choice D reason: Right eye turning inward fits esotropia, a common misalignment where one eye deviates medially. Given the five-year history, this is the expected external exam finding, reflecting the diagnosis accurately and consistently in this case here.

A. Increased air turbulence in the large airways. B. Air leaking from the alveoli into the pleural space. C. Air diverting from the trachea to the bronchi. D. Constriction of the respiratory passages.

Correct Answer is D

Explanation

Choice A reason: Turbulence in large airways causes coarse sounds, not high-pitched wheezes. Wheezes stem from narrowed smaller passages, like bronchioles, not broad airway dynamics, making this less accurate for the specific sound’s pathophysiology fully here.
Choice B reason: Air leaking into the pleural space (pneumothorax) reduces breath sounds, not causing wheezes. Wheezes arise from airway narrowing, not alveolar rupture, excluding this as the source of the auscultated adventitious sound entirely here fully.
Choice C reason: Air diversion from trachea to bronchi is normal airflow, not producing wheezes. Wheezes require obstruction or constriction in smaller airways, not tracheal branching, rendering this unrelated to the sound’s pathological origin comprehensively here.
Choice D reason: Wheezes result from constricted respiratory passages, like in asthma, where narrowed bronchioles vibrate with airflow. This high-pitched sound matches the pathophysiology of airway narrowing, making it the correct explanation for this finding accurately here.

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A client is admitted to the emergency room with a head injury. The client denies a previous history of seizures or head injury. What would the nurse most likely find when assessing a client diagnosed with a frontal lobe contusion following a motor vehicle accident?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse's auscultation of a client's lung fields reveals the presence of a wheeze. The nurse should recognize that this adventitious sound results from what pathophysiologic process in the lungs?

Correct Answer is D

Explanation

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