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
Explanation
Choice A reason: Total output is hemodialysis (4000 mL) + Jackson Pratt (20 mL) + urine (100 mL) + nasogastric (325 mL) = 4445 mL, accurately summing all fluid losses recorded.
Choice B reason: 4000 mL only accounts for hemodialysis, ignoring Jackson Pratt (20 mL), urine (100 mL), and nasogastric (325 mL), underestimating total output significantly.
Choice C reason: 4250 mL likely omits nasogastric (325 mL) or miscalculates, as 4000 + 20 + 100 + 325 = 4445 mL, missing part of the recorded fluid loss.
Choice D reason: 4500 mL overestimates; 4000 + 20 + 100 + 325 = 4445 mL, suggesting an error in adding an extra 55 mL not documented in outputs.
Correct Answer is A
Explanation
Choice A reason: Myxedema, severe hypothyroidism, slows metabolism, reducing cardiac output and causing fluid retention in tissues, leading to non-pitting leg edema from glycosaminoglycan deposits and poor circulation.
Choice B reason: Heat intolerance occurs in hyperthyroidism due to increased metabolism raising body temperature. Myxedema causes cold intolerance from slowed metabolism, making this finding unlikely.
Choice C reason: Tachycardia is a hyperthyroid symptom from excess thyroid hormone speeding heart rate. Myxedema leads to bradycardia as metabolism and cardiac activity decrease significantly.
Choice D reason: Diarrhea aligns with hyperthyroidism’s accelerated gut motility. Myxedema causes constipation from slowed metabolism reducing peristalsis, so diarrhea contradicts this condition’s physiology.
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