A patient presents to the emergency department (ED) with a two-hour history of hemiparesis of the right arm and leg. Also, it is noted during assessment (examination) that the left side of her face moves normally, but the other side droops. Identify the item which helps to explain the connection between the pathophysiology of this illness and the pattern of signs and symptoms (555)

Ischemia of the brain tissue is causing cellular injury, swelling and malfunction of the contralateral side

The functioning of the right cranial nerve controlling facial movement is compromised by cerebral edema

The sensorimotor tracts leading from the brain to the body decussate and control the arm and leg on the same side as the lesion,

The corticospinal tracts leading from the brain to the body decussate and control the ipsilateral arm and leg.

Answer and Explanation

The Correct Answer is A

A. Ischemia of the brain tissue is causing cellular injury, swelling, and malfunction of the contralateral side: Hemiparesis occurs on the side opposite to the brain lesion due to the crossing (decussation) of motor pathways.

B. The functioning of the right cranial nerve controlling facial movement is compromised by cerebral edema: While facial nerve involvement can cause drooping, the hemiparesis suggests a central (brain) rather than peripheral issue.

C. The sensorimotor tracts leading from the brain to the body decussate and control the arm and leg on the same side as the lesion: This is incorrect because the tracts control the contralateral side of the body.

D. The corticospinal tracts leading from the brain to the body decussate and control the ipsilateral arm and leg: This is incorrect; the corticospinal tracts control the contralateral side.

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Correct Answer is C

Explanation

A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.

B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.

C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.

D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.

A. occurs when you are physically and psychologically exhausted." B. occurs in the postdrome and causes you to feel sleepy and weak." C. is a trigger such as a stressful event, that is the cause of the headache" D. is a warning, such as an unpleasant smell, before the headache begins."

Correct Answer is D

Explanation

A. Occurs when you are physically and psychologically exhausted: An aura is a specific set of symptoms that precedes the headache, not related to exhaustion.

B. Occurs in the postdrome and causes you to feel sleepy and weak: The postdrome phase is after the headache, and an aura occurs before the headache.

C. Is a trigger such as a stressful event, that is the cause of the headache: An aura is not a trigger but rather a symptom experienced before the headache begins.

D. An aura is a warning, such as an unpleasant smell, before the headache begins: An aura is a neurological phenomenon that can include visual disturbances, unusual smells, or other sensory changes occurring before the onset of a migraine.

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Naxlex Comprehensive Predictor Exams

A patient, diagnosed with Addison's disease, is admitted to the emergency department (ED) after spending the day at the lake. The patient is diaphoretic, weak and forgetful. Which intervention would be supportive for these S&S (signs and symptoms)?

Correct Answer is C

Explanation

A clinic nurse asks her patient who suffers from migraine headaches if she experiences an aura before the headache begins. The patient appears confused and asks "What is an aura?". Which statement is true? "An aura

Correct Answer is D

Explanation

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