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 C

Explanation

Choice A reason: Fluticasone, an inhaled steroid, treats asthma inflammation safely in heart failure, reducing airway reactivity without cardiac impact, so no clarification is needed.

Choice B reason: Captopril, an ACE inhibitor, reduces preload in heart failure, safe with asthma as it doesn’t affect airways, aligning with standard therapy.

Choice C reason: Carvedilol, a non-selective beta-blocker, treats heart failure but risks bronchospasm in asthma by blocking beta-2 receptors, requiring clarification for safety.

Choice D reason: Isosorbide dinitrate dilates vessels in heart failure, reducing workload, with no asthma contraindication, making it appropriate without needing clarification.

A. Gamma globulins B. Prednisone C. Methotrexate D. Hydroxychloroquine

Correct Answer is A

Explanation

Choice A reason: Gamma globulins (IVIG) provide antibodies to fight infections and stabilize platelet and RBC counts in lupus by modulating immunity, addressing cytopenias effectively.

Choice B reason: Prednisone suppresses immunity, reducing lupus inflammation but lowering infection resistance and not directly boosting platelets or RBCs, risking suppression.

Choice C reason: Methotrexate inhibits folate, suppressing lupus immune activity, but it can reduce blood cell production, not increase platelets or RBCs, worsening counts.

Choice D reason: Hydroxychloroquine prevents lupus flares by stabilizing lysosomes, not boosting blood counts or immunity, focusing on symptom control, not cytopenias.

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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

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