A nurse in an emergency department is assessing a client who has experienced a right hemispheric stroke. Which of the following findings should the nurse expect?
Aphasia
Depression
Loss of depth perception
Slow, cautious behavior
The Correct Answer is C
Choice A rationale:
Aphasia, or difficulty with language, is more commonly associated with left hemispheric stroke.
Choice B rationale:
Depression can be a common psychological reaction following stroke, but it is not a specific finding associated with right hemispheric stroke.
Choice C rationale:
Right hemispheric stroke can lead to loss of depth perception and spatial awareness due to its impact on the visual-spatial processing areas of the brain.
Choice D rationale:
Slow, cautious behavior is a common finding after stroke regardless of the affected hemisphere.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Identifying whether incivility is present is important, but it's more proactive to initially focus on promoting a safe environment.
Choice B rationale:
Modeling professional behavior is essential, but addressing incivility requires a comprehensive approach that involves the entire team.
Choice C rationale:
Developing a zero-tolerance policy is important, but it should come after promoting a safe and respectful environment.
Choice D rationale:
Creating an emotionally safe environment fosters open communication and helps prevent incivility from occurring in the first place.
Correct Answer is ["A","B","D","E"]
Explanation
A. Providing rest breaks between nursing care activities is essential to prevent fatigue and allow for recovery, as stroke patients often have reduced endurance and energy.
B. Notifying the provider of a systolic blood pressure higher than 180 mm Hg is crucial because hypertension can exacerbate brain injury following a stroke and increase the risk of hemorrhagic transformation.
C. Administering aspirin 650 mg every 6 hours for a headache is not recommended without a physician's order, especially post-stroke, as it can increase the risk of bleeding.
D. Keeping the client's head in a midline neutral position helps to promote venous drainage and decrease intracranial pressure, which is beneficial in the management of a stroke patient.
E. Monitoring the client's vital signs every 4 hours is important for detecting any changes in the patient's condition that may indicate complications or the need for medical intervention.
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