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

Left-sided weakness

Aphasia

Impulsiveness

Answer and Explanation

The Correct Answer is C

A. Poor judgment: Poor judgment is more commonly associated with right-hemisphere strokes due to impaired insight and spatial-perceptual deficits. It is less typical in clients with left-hemisphere strokes.

B. Left-sided weakness: Left-sided weakness results from right-hemisphere strokes because each hemisphere controls motor function on the opposite side of the body. A left-hemisphere stroke usually affects the right side.

C. Aphasia: The left hemisphere typically controls language, including speech and comprehension. A stroke in this area can result in expressive, receptive, or global aphasia, which is a hallmark finding in left-hemisphere strokes.

D. Impulsiveness: Impulsivity is more commonly seen in right-hemisphere strokes due to poor judgment, lack of awareness of deficits, and spatial-perceptual difficulties. It is not a primary characteristic of left-hemisphere strokes.

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Free Nursing Study Resources

Correct Answer is D

Explanation

The top image illustrates a wound with a large tissue deficit that is likely healing by tertiary intention (delayed primary closure). The tissue inside the wound bed appears beefy red and uneven.

The second image shows a wound covered with a slough or eschar, a common appearance for wounds healing by secondary intention that require debridement.

The third image illustrates secondary intention healing, where the wound edges are and the wound is left open to heal from the base up via granulation tissue formation. This is characteristic of large wounds, burns, or pressure injuries.

The bottom image illustrates primary intention healing. This occurs when the wound edges are cleanly incised and immediately approximated sutured, stapled, or glued), resulting in minimal tissue loss and little scarring. This is the goal for most surgical incisions, including the client's abdominal surgery from six weeks ago.

A. Hypocalcemia B. Hyperphosphatemia C. Hyperkalemia D. Hypernatremia

Correct Answer is D

Explanation

A. Hypocalcemia: Heat exhaustion does not typically cause low calcium levels. Calcium imbalances are more often related to parathyroid disorders, vitamin D deficiency, or certain medications rather than fluid loss from heat exposure.

B. Hyperphosphatemia: Elevated phosphate levels are not characteristic of heat exhaustion. Phosphate disturbances usually occur with kidney dysfunction or severe cellular breakdown, not from dehydration and electrolyte loss due to heat.

C. Hyperkalemia: Potassium levels may actually decrease or remain normal in heat exhaustion due to excessive sweating and fluid loss. Hyperkalemia is not a primary concern unless there is underlying renal impairment or extensive tissue damage.

D. Hypernatremia: Excessive fluid loss through sweating without adequate water replacement leads to elevated sodium levels in the blood. Hypernatremia is a common electrolyte imbalance in heat exhaustion and contributes to symptoms such as thirst, confusion, and neurologic changes.

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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 in a long-term care facility is caring for a client who had abdominal surgery 6 weeks ago. Which of the following images indicates the client's wound is healing by primary intention?

Correct Answer is D

Explanation

A nurse is admitting a client who reports excessive thirst, fever, and periods of confusion. The nurse suspects the client is experiencing heat exhaustion. Which of the following electrolyte imbalances should the nurse expect?

Correct Answer is D

Explanation

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