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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Free Nursing Study Resources

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason:
This is correct because monitoring the client's vital signs and neurological status frequently can help detect any changes in the client's condition, such as improvement or deterioration of symptoms, or complications such as bleeding or increased intracranial pressure.

Choice B reason:
This is correct because administering rtPA within 4.5 hours of symptom onset can increase the chances of restoring blood flow to the ischemic brain tissue and reducing neurological damage. The effectiveness and safety of rtPA decrease after this time window.

Choice C reason:
This is correct because maintaining the client's systolic blood pressure below 180 mm Hg can prevent further ischemia or hemorrhage in the brain. High blood pressure can increase the risk of bleeding or reperfusion injury after thrombolytic therapy.

Choice D reason:
This is incorrect because giving aspirin or other antiplatelet agents along with rtPA can increase the risk of bleeding or hemorrhagic transformation. Antiplatelet agents should be avoided for at least 24 hours after thrombolytic therapy.

Choice E reason:
This is correct because assessing the client for signs of bleeding or hemorrhagic transformation can help identify any adverse effects of thrombolytic therapy. Bleeding or hemorrhagic transformation can manifest as hematuria, hematemesis, melena, petechiae, ecchymosis, epistaxis, gingival bleeding, headache, altered mental status, or worsening neurological deficits.

A. Biceps brachii. B. Triceps brachii. C. Deltoid. D. Trapezius.

Correct Answer is B

Explanation

Choice A reason:

This is incorrect because biceps brachii is innervated by C5-C6 nerve roots, which are not affected by a herniated disc at C6-C7 level.

Choice B reason:

This is the correct answer because triceps brachii is innervated by C6-C8 nerve roots, which are affected by a herniated disc at C6-C7 level.

Choice C reason:

This is incorrect because deltoid is innervated by C5-C6 nerve roots, which are not affected by a herniated disc at C6-C7 level.

Choice D reason:

This is incorrect because trapezius is innervated by cranial nerve XI (spinal accessory nerve), which is not affected by a herniated disc at C6-C7 level.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a client who has cervical radiculopathy due to a herniated disc at C6-C7 level. Which of the following muscles should the nurse assess for weakness?

Correct Answer is B

Explanation

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

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?

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