A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
Inability to recognize his family members
Difficulty reading
Aphasia
Right hemiparesis
The Correct Answer is A
A. Inability to recognize family members (prosopagnosia) is associated with right hemisphere strokes, which can affect visual and spatial awareness and cause difficulties with recognizing people and objects.
B. Difficulty reading is more commonly associated with left hemisphere involvement.
C. Aphasia (language impairment) typically occurs with left hemisphere strokes since language centers are usually located there.
D. Right hemiparesis would result from a left hemisphere stroke; right hemisphere stroke more commonly causes left-sided weakness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Active bleeding is important but airway and breathing take precedence.
B. Altered respirations indicate airway compromise or respiratory distress, which is the most critical priority to assess and manage first.
C. Facial asymmetry is a sign of injury but less urgent than airway or breathing problems.
D. Soft-tissue edema can impair breathing but is secondary to immediate respiratory assessment.
Correct Answer is A
Explanation
A. Cardioversion. For stable clients with ventricular tachycardia who have a pulse, synchronized cardioversion is the preferred treatment.
B. Radiofrequency catheter ablation is a longer-term treatment option for recurrent VT but is not an immediate intervention.
C. Defibrillation is used for pulseless VT or ventricular fibrillation, not for stable VT with a pulse.
D. CPR is required if the client is pulseless or in cardiac arrest, which is not indicated here.
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