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.
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.7"]
Explanation
Step 1 is (150 lb × 1 kg ÷ 2.2 lb) × 250 units. This calculates the total units required. The answer is 17045.45 units.
Step 2 is 17045.45 units ÷ 10,000 units/mL = 1.7 mL.
The final calculated answer is 1.7 mL.
Correct Answer is B
Explanation
Choice A rationale
Echinacea enhances immune function but has minimal effects on coagulation. It is not commonly associated with adverse interactions with anticoagulants like enoxaparin unless paired with other supplements causing significant immune changes.
Choice B rationale
Ginkgo biloba poses an increased bleeding risk due to antiplatelet effects, which can compound the anticoagulant properties of enoxaparin. This interaction necessitates close monitoring and communication with the provider.
Choice C rationale
Probiotics aid gastrointestinal health without influencing coagulation pathways or interacting significantly with anticoagulants. They are generally safe to continue unless contraindicated by other clinical factors.
Choice D rationale
Flaxseed powder contains omega-3 fatty acids, which may have mild anticoagulant properties. However, this interaction is usually not clinically significant unless used in large quantities alongside other anticoagulants. .
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