A patient is diagnosed with Receptive Aphasia. The nurse understands this patient can:

Neither talk nor comprehend

Talk but do not comprehend

No alteration in speech and language

Comprehend but not able to talk

Answer and Explanation

The Correct Answer is B

A) Neither talk nor comprehend: This description does not accurately characterize receptive aphasia. Receptive aphasia, also known as Wernicke's aphasia, primarily affects comprehension, while speech production may remain intact. Patients with this condition may speak fluently but have difficulty understanding spoken or written language.
B) Talk but do not comprehend: Receptive aphasia is characterized by the ability to produce speech fluently but with impaired comprehension. Patients can talk and may produce coherent-sounding speech, but they struggle to understand others' speech and may not grasp the meaning of what they are saying.
C) No alteration in speech and language: Receptive aphasia involves specific alterations in speech and language, particularly in comprehension. While speech may be fluent, the content often lacks meaning or coherence, and comprehension is significantly impaired.
D) Comprehend but not able to talk: This description aligns more with expressive aphasia (Broca's aphasia), where patients have difficulty producing speech but generally retain comprehension abilities. Receptive aphasia affects comprehension while allowing relatively intact speech production.

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Correct Answer is D

Explanation

A) Light palpation of the abdominal right lower quadrant: While light palpation is generally the first step in an abdominal examination to assess for tenderness or abnormalities, the presence of pain with deep palpation of the right kidney indicates a more specific concern. This may warrant further investigation related to the kidney rather than focusing on the lower quadrant.
B) Auscultate sounds in the abdominal left lower quadrant: Auscultation is typically done before palpation to assess bowel sounds and other abnormalities. However, given the specific complaint of pain in the right kidney area, the priority should be addressing the suspected kidney issue rather than auscultating another quadrant.
C) Deep palpation of the abdominal left upper quadrant: Deep palpation in another quadrant is not immediately relevant to the complaint of pain in the right kidney. Instead, it’s crucial to focus on assessing the area directly related to the client's symptoms.
D) First percussion of the costovertebral angles: Percussion of the costovertebral angles (CVA) is a specific technique used to assess kidney tenderness and is appropriate for evaluating the potential causes of the pain in the right kidney. This examination can help determine if the pain is due to conditions like kidney infection or inflammation. Therefore, it is the most relevant next step in this situation.

A. Assess for Kerning and Burzinski signs. B. Ensure no injury to the cervical spine C. Check for a Babinski reflex D. Position the client prone

Correct Answer is B

Explanation

A) Assess for Kernig and Brudzinski signs: Kernig and Brudzinski signs are used to test for meningeal irritation, often associated with conditions like meningitis. However, these tests should not be performed if there is a risk of spinal injury, as they could potentially exacerbate any existing cervical spine injury.
B) Ensure no injury to the cervical spine: Before performing tests that involve neck movements, such as those for meningeal irritation, it is crucial to ensure that there is no existing cervical spine injury. Performing such tests on a client with a cervical spine injury could lead to further harm. Therefore, checking for cervical spine stability and injury is the most important initial step.
C) Check for a Babinski reflex: The Babinski reflex is used to assess neurological function but is not specifically related to detecting meningeal irritation. It is not the immediate priority when evaluating for possible cervical spine injury.

D) Position the client prone: Positioning the client prone is not relevant for assessing meningeal irritation and may not be appropriate depending on the client’s condition. The focus should be on ensuring the client's safety and stability before performing specific physical tests.

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A patient is diagnosed with Receptive Aphasia. The nurse understands this patient can:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While conducting an abdominal physical examination, the client complains of pain with deep palpation of the right kidney. Which of the following should be the nurse's next step in the physical examination?

Correct Answer is D

Explanation

When preparing to test a client for meningeal irritation, which of the following would be most important for the nurse to do first?

Correct Answer is B

Explanation

When the nurse is assessing a client's mental status as part of the neurological examination, which question would be most appropriate to ask?

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