A nurse is caring for a client who recently experienced a left-hemisphere stroke.
Which of the following findings should the nurse expect?

Poor judgment.

Impulsiveness.

Left-sided weakness.

Aphasia.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Poor judgment is typically associated with right-hemisphere strokes, which impair attention, spatial orientation, and awareness. Left-hemisphere strokes primarily affect language and motor function, sparing judgment and spatial abilities. Understanding hemispheric stroke effects helps anticipate patient deficits.

Choice B rationale

Impulsiveness is also linked to right-hemisphere strokes, resulting from disrupted executive function and self-monitoring. Left-hemisphere strokes affect logical reasoning and language skills, rarely leading to impulsive behavior.

Choice C rationale

Left-sided weakness is characteristic of right-hemisphere strokes due to contralateral motor control. Left-hemisphere strokes typically cause right-sided motor impairments. Recognizing this distinction aids in accurate diagnosis and therapy.

Choice D rationale

Aphasia is a hallmark of left-hemisphere strokes, as this hemisphere controls speech and language in most individuals. Damage to regions like Broca’s or Wernicke’s area leads to expressive or receptive language deficits, necessitating targeted therapy for rehabilitation. .

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Correct Answer is A

Explanation

Choice A rationale

Cracks at the corners of the mouth, or cheilosis, are often associated with nutritional deficiencies like iron or vitamin B deficiencies. Monitoring for these cracks helps diagnose and treat the underlying condition.

Choice B rationale

A reddened tongue is typically associated with vitamin B12 deficiency or other conditions but not cheilosis. It can help identify a different deficiency or condition.

Choice C rationale

Pale conjunctiva is an indicator of anemia but does not specifically correlate with cheilosis. It suggests reduced hemoglobin levels due to iron deficiency.

Choice D rationale

Brittle fingernails may result from chronic iron deficiency anemia but are not directly related to cheilosis. They serve as additional evidence of prolonged anemia.

A. Request the client to be NPO. B. Administer a glycerin suppository. C. Offer an analgesic medication. D. Ambulate the client in the hallway.

Correct Answer is A

Explanation

Choice A rationale

Requesting the client to be NPO is appropriate as the first step in response to symptoms like hypoactive bowel sounds and abdominal pain following surgery. These findings could indicate potential ileus or obstruction, and keeping the client NPO helps prevent further gastrointestinal complications while awaiting evaluation.

Choice B rationale

Administering a glycerin suppository can relieve constipation by stimulating rectal evacuation. However, it may not be appropriate without further evaluation, particularly in a postoperative client, as bowel obstruction or ileus must be ruled out before initiating bowel stimulants.

Choice C rationale

Offering an analgesic can help manage abdominal pain. However, it does not address the underlying cause of the hypoactive bowel sounds and cramping pain, which require further evaluation. Symptom management should not precede diagnostic assessment.

Choice D rationale

Ambulating the client may promote peristalsis and prevent complications such as blood clots. However, in the context of hypoactive bowel sounds and abdominal pain, further diagnostic evaluation is necessary before encouraging activity to avoid exacerbating a possible obstruction or ileus. .

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A nurse is caring for a client who recently experienced a left-hemisphere stroke.Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has iron-deficiency anemia.Which of the following should the nurse monitor for the clinical manifestation of cheilosis?

Correct Answer is A

Explanation

A nurse is caring for a client who is two days postoperative following abdominal surgery.The nurse auscultates hypoactive bowel sounds, and the client reports cramping abdominal pain.Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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A nurse is caring for a client who recently experienced a left-hemisphere stroke.
Which of the following findings should the nurse expect?