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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Untreated hypothyroidism progresses to myxedema, a severe state with slowed metabolism causing fatigue, cold intolerance, constipation, and hair loss from low thyroid hormone.

Choice B reason: Hypocalcemia results from hypoparathyroidism, not hypothyroidism, which affects metabolism, not calcium regulation directly, so it’s unrelated to these symptoms.

Choice C reason: Pericarditis may occur in severe hypothyroidism late, but it’s not the primary complication; myxedema encompasses the broader metabolic decline seen here.

Choice D reason: Thyroid crisis (storm) is a hyperthyroid emergency with fever and tachycardia, opposite to hypothyroidism’s slow symptoms like coldness and fatigue.

A. Chest pain while at rest B. A complete occlusion of the coronary artery C. Chest pain upon exertion that resolves with rest D. A partial occlusion of the coronary artery

Correct Answer is A

Explanation

Choice A reason: NSTEMI causes chest pain at rest due to reduced blood flow from partial occlusion, unlike stable angina, reflecting demand-supply mismatch without full blockage.

Choice B reason: Complete occlusion causes ST-elevation MI (STEMI), not NSTEMI, which involves partial blockage, leading to subendocardial ischemia without full transmural infarction.

Choice C reason: Chest pain on exertion resolving with rest describes stable angina, not NSTEMI, which occurs unpredictably, often at rest, due to unstable plaque rupture.

Choice D reason: NSTEMI results from partial coronary occlusion, causing ischemia without ST elevation, detectable by troponin rise, distinguishing it from STEMI’s complete blockage.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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