A nurse is performing a neurological assessment on a client who has ischemic stroke affecting the left cerebral hemisphere. The nurse asks the client to name an object that the nurse points to, but the client does not respond verbally. The nurse interprets this as a sign of which of the following types of aphasia?

Expressive aphasia

Receptive aphasia

Global aphasia

Anomic aphasia

Answer and Explanation

The Correct Answer is B

Choice A reason:

This is incorrect because expressive aphasia is a type of aphasia that affects the ability to produce speech, but not to comprehend it. A client with expressive aphasia would be able to respond verbally, but with difficulty or errors.

Choice B reason:

This is the correct answer because receptive aphasia is a type of aphasia that affects the ability to comprehend speech, but not to produce it. A client with receptive aphasia would not be able to respond verbally, as they do not understand what is being asked.

Choice C reason:

This is incorrect because global aphasia is a type of aphasia that affects both the ability to produce and comprehend speech. A client with global aphasia would not be able to respond verbally or nonverbally, as they have no language function.

Choice D reason:

This is incorrect because anomic aphasia is a type of aphasia that affects the ability to recall specific words or names, but not the general ability to produce or comprehend speech. A client with anomic aphasia would be able to respond verbally, but with pauses or substitutions.

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Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because trimming the toenails straight across and filing the edges can prevent ingrown toenails, which can cause infection and complications in clients with peripheral neuropathy.

Choice B reason:

This is incorrect because soaking the feet in warm water for 15 minutes every day can cause maceration, which can increase the risk of skin breakdown and infection in clients with peripheral neuropathy.

Choice C reason:

This is incorrect because wearing cotton socks and changing them when they are damp can cause friction and moisture, which can also increase the risk of skin breakdown and infection in clients with peripheral neuropathy.

Choice D reason:

This is incorrect because applying lotion between the toes can cause fungal growth, which can lead to athlete's foot or other infections in clients with peripheral neuropathy.

A. Atherosclerosis B. Atrial fibrillation C. Cerebral aneurysm D. Arteriovenous malformation

Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because atherosclerosis is the main cause of ischemic stroke, as it leads to the formation of plaques that narrow the cerebral arteries and reduce blood flow to the brain.

Choice B reason:

This is incorrect because atrial fibrillation is a risk factor for ischemic stroke, but not the most common cause. Atrial fibrillation can cause embolic stroke, which occurs when a blood clot from the heart travels to the brain and blocks a cerebral artery.

Choice C reason:

This is incorrect because cerebral aneurysm is a cause of hemorrhagic stroke, not ischemic stroke. Cerebral aneurysm is a weak spot in a cerebral artery that can rupture and bleed into the brain.

Choice D reason:

This is incorrect because arteriovenous malformation is also a cause of hemorrhagic stroke, not ischemic stroke. Arteriovenous malformation is a congenital abnormality of the blood vessels in the brain that can leak or burst and cause bleeding.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has peripheral neuropathy about foot care. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reviewing the medical history of a client who has ischemic stroke. Which of the following conditions is the most common cause of ischemic stroke?

Correct Answer is A

Explanation

A nurse is caring for a client who has a seizure disorder. The client asks the nurse how seizures occur. Which of the following responses by the nurse is appropriate?

A nurse is assessing a client who has peripheral neuropathy due to diabetes mellitus. Which of the following findings should the nurse expect?

A nurse is evaluating the outcomes of a client who has ischemic stroke and has received rehabilitation. Which of the following statements by the client indicates an improvement in functional recovery?

A nurse is caring for a client who has ischemic stroke and is receiving thrombolytic therapy with recombinant tissue plasminogen activator (rtPA). Which of the following actions should the nurse take? (Select all that apply.)

A nurse is teaching a client about the functions of the central nervous system (CNS). Which of the following statements by the client indicates a need for further teaching?

A nurse is educating a client who has a history of ischemic stroke about modifiable risk factors. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)

A nurse is planning care for a client who has ischemic stroke and is at risk for cerebral edema. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who has multiple sclerosis (MS). Which of the following statements by the client indicates an understanding of this condition?