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 C
Explanation
A. Restricting fluid intake is inappropriate. Clients are typically encouraged to increase fluids to flush out contrast dye.
B. Ambulating the client 1 hr after the procedure is unsafe. The client should remain flat with the leg extended to prevent bleeding from the femoral site.
C. Perform neurovascular checks with vital signs. This helps assess for complications such as bleeding, hematoma, or impaired perfusion in the affected limb after femoral artery access.
D. Performing range-of-motion exercises is not advised immediately after the procedure as it could disrupt the catheterization site and increase bleeding risk.
Correct Answer is D
Explanation
A. Brudzinski's sign is when flexion of the neck causes involuntary flexion of the hips and knees—this is a different physical response.
B. Nuchal rigidity refers to neck stiffness and is a general sign of meningeal irritation, not specific to leg extension.
C. Bradykinesia refers to slowness of movement, typically seen in Parkinson’s disease, not meningitis.
D. Kernig's sign is positive when the client experiences pain or resistance upon extending the leg at the knee from a flexed hip and knee position, indicating meningeal irritation as seen in meningitis.
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