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 B
Explanation
Choice A rationale
Cervical cancer screenings are recommended to begin at age 21, regardless of sexual history. Delaying until age 40 overlooks guidelines that target the detection of precancerous changes earlier in life, maximizing prevention efforts.
Choice B rationale
The combination of Pap and HPV tests every five years from ages 30 to 65 aligns with current recommendations. HPV is a critical etiological agent, and co-testing enhances sensitivity for detecting high-risk oncogenic strains or cellular abnormalities.
Choice C rationale
Immunization against HPV significantly reduces cervical cancer risk but does not eliminate it. Screening remains critical due to the vaccine's limited coverage of HPV types and possible pre-immunization exposure.
Choice D rationale
Lifetime screenings are not necessary unless there are risk factors like HIV or previous abnormal results. Guidelines recommend stopping screening after age 65 for women with adequate prior negative results.
Correct Answer is B
Explanation
Choice A rationale
Echinacea has immunomodulatory effects, potentially boosting immunity. While it interacts with some medications, its usage does not pose significant risks with anticoagulants like enoxaparin unless combined with other supplements or medications causing immune changes.
Choice B rationale
Ginkgo biloba increases the risk of bleeding due to its antiplatelet effects, which can compound the anticoagulant effects of enoxaparin. This interaction requires reporting to the provider to adjust or monitor anticoagulant therapy accordingly.
Choice C rationale
Probiotics support gut health but do not interact significantly with anticoagulants or alter coagulation parameters. Their usage can generally be continued unless specific contraindications arise with concurrent conditions or medications.
Choice D rationale
Flaxseed powder is a source of omega-3 fatty acids, which may have mild anticoagulant effects. However, this interaction is not typically strong enough to warrant reporting unless combined with other supplements affecting coagulation.
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