A nurse is performing a neurological assessment on a patient who recently suffered an ischemic stroke affecting the occipital lobe. Which of the following findings would be most consistent with this area of brain injury?
The patient exhibits impaired judgment and difficulty with impulse control.
The patient has visual hallucinations and difficulty identifying visual stimuli.
The patient is unable to maintain balance and shows a wide-based gait
The patient is unable to understand spoken language and displays fluent but nonsensical speech.
The Correct Answer is B
Rationale:
A. Impaired judgment and poor impulse control are more commonly associated with frontal lobe damage.
B. The occipital lobe is responsible for visual processing. Damage here can cause visual disturbances, hallucinations, or agnosia (inability to recognize visual stimuli).
C. Balance and coordination issues, such as a wide-based gait, are typically related to cerebellar dysfunction, not occipital lobe injury.
D. Inability to comprehend language with fluent but nonsensical speech suggests Wernicke’s aphasia, which involves the temporal lobe, not the occipital lobe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. While documentation may be helpful, immediately advising legal action may overwhelm the client and compromise trust if they are not ready.
B. Urging the client to leave immediately may ignore their sense of readiness or fear, which could reduce engagement or increase danger.
C. Offering nonjudgmental support and information about the cycle of abuse promotes both safety and autonomy by helping the client make informed, empowered decisions.
D. Couples counseling is inappropriate in cases of intimate partner violence, as it may place the victim at further risk and shift blame.
Correct Answer is D
Explanation
Rationale:
A. Reassurance alone does not address the underlying cause of the restlessness, which may be distressing and impair functioning.
B. Although this can be an expected side effect (akathisia), documenting without intervention neglects the client's discomfort.
C. Notifying the provider is important, but immediate symptom relief is the priority before adjusting long-term therapy.
D. The client is exhibiting signs of akathisia, a common extrapyramidal side effect of haloperidol. Diphenhydramine (an anticholinergic/antihistamine) can relieve symptoms promptly and should be administered as the first nursing action.
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