A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

Poor impulse control

Deficits in the right visual field

Unable to discriminate words and letters

Motor retardation

Answer and Explanation

The Correct Answer is A

Choice A reason: A stroke involving the right cerebral hemisphere can affect the cognitive and emotional functions of the brain, such as judgment, impulse control, and emotional regulation³. This can lead to risky or inappropriate behaviors, such as acting impulsively or disregarding social norms. Therefore, the nurse should monitor the client for poor impulse control and provide appropriate interventions, such as education, cueing, feedback, and environmental modifications.
Choice B reason: A stroke involving the right cerebral hemisphere can affect the visual functions of the brain, such as depth perception, spatial orientation, and visual recognition³. However, the deficits are usually in the left visual field, not the right, because the right side of the brain controls the left side of the body and the environment. Therefore, the nurse should monitor the client for deficits in the left visual field, not the right.
Choice C reason: A stroke involving the right cerebral hemisphere can affect the abstract reasoning functions of the brain, such as understanding metaphors, humor, or sarcasm. However, the ability to discriminate words and letters is more related to the language functions of the brain, which are mainly controlled by the left cerebral hemisphere. Therefore, the nurse should monitor the client for language deficits, such as aphasia or dysarthria, if the stroke involves the left cerebral hemisphere, not the right.
Choice D reason: A stroke involving the right cerebral hemisphere can affect the motor functions of the brain, such as movement, coordination, and balance³. However, the motor retardation, which is a slowing down of physical and mental activity, is more related to the mood functions of the brain, which are mainly controlled by the frontal lobe of the brain. Therefore, the nurse should monitor the client for motor retardation if the stroke involves the frontal lobe, not the right cerebral hemisphere.

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Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Hyperthermia. This answer is incorrect because hyperthermia is not a complication of a cervical spinal cord injury, but rather a condition that can worsen the injury. Hyperthermia can increase the metabolic demand and oxygen consumption of the injured spinal cord, leading to more damage and inflammation.

Choice B reason: Absence of bowel sounds. This answer is correct because absence of bowel sounds is a complication of a cervical spinal cord injury, which can affect the autonomic nervous system and impair the function of the gastrointestinal system. A cervical spinal cord injury can cause spinal shock, which leads to decreased peristalsis and paralytic ileus.

Choice C reason: Polyuria. This answer is incorrect because polyuria is not a complication of a cervical spinal cord injury, but rather a condition that can occur after the resolution of spinal shock. Polyuria can result from the loss of sympathetic control over the renal system, leading to increased urine output and decreased antidiuretic hormone secretion.

Choice D reason: Weakened gag reflex. This answer is correct because weakened gag reflex is a complication of a cervical spinal cord injury, which can affect the autonomic nervous system and impair the function of the respiratory system. A cervical spinal cord injury can cause damage to the cranial nerves that control the gag reflex, leading to difficulty swallowing, aspiration, and pneumonia.

Choice E reason: Hypotension. This answer is correct because hypotension is a complication of a cervical spinal cord injury, which can affect the autonomic nervous system and impair the function of the cardiovascular system. A cervical spinal cord injury can cause neurogenic shock, which leads to decreased sympathetic tone, vasodilation, and reduced cardiac output.

A. Impaired sense of humor B. Poor judgment C. Intellectual impairment D. Loss of depth perception

Correct Answer is C

Explanation

Choice A reason: Impaired sense of humor is not a common finding for a client who had a stroke involving the left cerebral hemisphere. Impaired sense of humor is more likely to occur after a stroke involving the right cerebral hemisphere, which is responsible for processing humor, irony, and sarcasm.

Choice B reason: Poor judgment is not a typical finding for a client who had a stroke involving the left cerebral hemisphere. Poor judgment is more likely to occur after a stroke involving the frontal lobe, which is involved in executive functions, such as planning, reasoning, and decision making.

Choice C reason: Intellectual impairment is a possible finding for a client who had a stroke involving the left cerebral hemisphere. The left cerebral hemisphere is dominant for language and analytical thinking in most people. A stroke affecting this hemisphere can impair the ability to speak, read, write, calculate, and comprehend information.

Choice D reason: Loss of depth perception is not a frequent finding for a client who had a stroke involving the left cerebral hemisphere. Loss of depth perception is more likely to occur after a stroke involving the occipital lobe, which is involved in visual processing, or the parietal lobe, which is involved in spatial awareness.

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A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a client who had a stroke involving the left cerebral hemisphere. The nurse should monitor for which of the following findings?

Correct Answer is C

Explanation

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