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

Answer and Explanation

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.

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Correct Answer is ["A","D","F","G"]

Explanation

A. Administer broad-spectrum antibiotics promptly to combat the underlying infection, which is critical in sepsis management.
B. Inserting an NG tube is not a priority action in the initial management of sepsis unless there are specific indications such as bowel obstruction.
C. Type and cross-match for blood transfusion is not urgent unless there is active bleeding or severe anemia, which is not present here.
D. Rapidly administer bolus of normal saline to treat hypotension and improve tissue perfusion, a cornerstone in sepsis resuscitation.
E. Obtaining a sputum culture can be useful but is not as urgent as blood cultures in initial management.
F. Measure lactic acid level to assess the severity of sepsis and tissue hypoxia, guiding treatment decisions.
G. Obtain blood cultures prior to antibiotic administration to identify the causative organism.
H. Obtaining a urine specimen can help identify the infection source but is secondary to blood cultures and immediate treatment interventions.

A. Blood pressure 115/68 mmHg B. Heart rate 160/min C. Hypokalemia D. Mottled skin

Correct Answer is A

Explanation

A. In the compensatory stage of shock, blood pressure is usually maintained within normal limits due to vasoconstriction and increased cardiac output.
B. A heart rate of 160/min is excessively high and more typical of the progressive stage of shock.
C. Hypokalemia is not a typical finding specific to the compensatory stage of shock.
D. Mottled skin usually occurs in the later stages of shock due to poor perfusion, not during compensation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","D","F","G"]

Explanation

A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect during this stage as the client's body compensates successfully?

Correct Answer is A

Explanation

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