A client is admitted to the hospital with the diagnosis of a right-sided brain attack (CVA). The client is right-handed. Which task will be most difficult for this client?
Dressing in the morning
Writing letters
Combing hair
Eating meals
The Correct Answer is B
Choice A reason: Dressing involves both sides but can be adapted with the left hand; right-sided CVA impairs left-side function, less affecting dominant right-hand tasks.
Choice B reason: Writing, a fine motor skill, relies on the dominant right hand, controlled by the left brain; right-sided CVA disrupts this, making it most difficult.
Choice C reason: Combing hair uses gross motor skills, manageable with the left hand despite right-sided CVA’s left-sided weakness, less challenging than writing.
Choice D reason: Eating uses the right hand but can be adjusted with utensils or left-hand assistance; it’s less precise than writing, so less impacted.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A reason: Tachypnea occurs in left-sided heart failure as pulmonary edema from backpressure increases respiratory effort to oxygenate blood through fluid-filled alveoli.
Choice B reason: Cough in left-sided failure results from pulmonary congestion irritating airways, often producing frothy sputum as fluid leaks from capillaries into lungs.
Choice C reason: Jugular vein distention indicates right-sided heart failure, where systemic venous pressure rises, not left-sided, which affects lungs, not neck veins.
Choice D reason: Ascites, abdominal fluid buildup, stems from right-sided failure’s hepatic congestion, not left-sided failure’s pulmonary focus, making it unrelated here.
Choice E reason: Confusion may occur late in severe heart failure from hypoxia, but it’s not specific to left-sided failure’s early pulmonary symptoms like tachypnea.
Correct Answer is D
Explanation
Choice A reason: Maintaining oxygen saturation helps symptoms but doesn’t diagnose the cause (e.g., MI), delaying critical evaluation of atypical pain and dyspnea.
Choice B reason: Ibuprofen relieves pain but risks bleeding in potential MI, not addressing cardiac etiology of jaw, back pain, and shortness of breath urgently.
Choice C reason: Acetaminophen eases pain but doesn’t assess or treat potential cardiac ischemia, missing the diagnostic priority for these MI-like symptoms.
Choice D reason: An EKG identifies cardiac ischemia (e.g., MI) in atypical pain (jaw, back), dyspnea, and nausea, guiding urgent treatment, the priority action here.
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