Stroke Warning signs includes? Select all that applied.

Kernig sign

Arm Weakness

Sudden confusion or trouble understanding

Face Drooping

negative Babinski reflex

Speech Difficulty

Answer and Explanation

Correct Answer : B,C,D

A.   The Kernig sign is a clinical test used to diagnose meningitis, not stroke. It involves flexing the patient’s hip and knee and then attempting to extend the knee while the hip is flexed. Pain or resistance during this maneuver can suggest meningeal irritation.
B.   Arm weakness refers to the loss of strength or control in one or both arms, which can be a sign of a stroke. It may be noticeable when a person is unable to lift their arm or keep it raised.
C.   Sudden confusion, trouble understanding, or difficulty speaking can be signs of a stroke. This may involve problems with language or comprehension, which are related to the areas of the brain responsible for these functions.
D.   Face drooping, especially on one side of the face, is a classic sign of stroke. It occurs when the muscles on one side of the face weaken or become paralyzed.
E.   The Babinski reflex is a test where the sole of the foot is stroked, and the normal response in adults is the downward flexion of the toes. An abnormal Babinski reflex (upward extension of the big toe) can indicate neurological problems but is not a specific warning sign of stroke.
F.   Speech difficulty, such as slurred speech or trouble finding words, is a common sign of a stroke. It can involve problems with articulation, coherence, or understanding language.

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Correct Answer is C

Explanation

A. Kyphosis is a condition characterized by an excessive outward curvature of the thoracic spine, leading to a hunchbacked appearance. It often results from degenerative diseases, osteoporosis, or other spinal conditions.
B. Lordosis refers to an excessive inward curvature of the lumbar spine, often referred to as "swayback." This condition can be congenital or due to other factors like obesity or pregnancy.
C. Osteoporosis is a bone condition characterized by decreased bone density and strength, leading to an increased risk of fractures. It is particularly common in postmenopausal women due to decreased estrogen levels, which help maintain bone density.
D. Scoliosis is a condition characterized by an abnormal lateral curvature of the spine. It can be congenital, idiopathic, or secondary to other conditions.

A. Decorticate Rigidity B. Flaccid C. Decerebrate Rigidity D. Hemiplegia

Correct Answer is A

Explanation

A. Decorticate rigidity is characterized by flexion of the arms and extension of the legs. In this posture, the upper arms are flexed and held tightly to the sides, with the elbows, wrists, and fingers also flexed. The legs are extended and internally rotated.
B. Flaccid posture, or flaccidity, is characterized by a complete lack of muscle tone, which leads to a limp and lifeless appearance. There is no resistance to passive movement, and the muscles are weak or paralyzed.

C. Decerebrate rigidity is characterized by extension of both the arms and the legs. In this posture, the arms are extended at the sides with the wrists and fingers flexed, and the legs are extended and internally rotated. This type of rigidity indicates damage to the brainstem below the red nucleus.
D. Hemiplegia refers to paralysis of one side of the body, which can result from brain injury or stroke affecting one hemisphere of the brain. The affected side will have limited or no movement and muscle tone.

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Stroke Warning signs includes? Select all that applied.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Loss of bone density that occurs with greatest frequency in postmenopausal women is called?

Correct Answer is C

Explanation

In the Neuro ICU, a comatose patient has this posture in bed: Upper arms are flexed tight to the sides with elbows, wrists, and fingers flexed. The legs are extended and internally rotated. The nurse interprets this posture as:

Correct Answer is A

Explanation

A patient that is Comatose based on the Level of Consciousness (LOC) assessment using the Glasgow Coma scale is in what numeric range of the scale?

During an assessment of the cranial nerves, a client reports spontaneously losing balance. The nurse should focus additional assessment on which cranial nerve?

A nurse is conducting a health history with a client who has recently had a stroke. The nurse notes the client is unable to speak, although his comprehension/ understanding is intact. Which disorder of speech is the nurse observing in this client?

A community health nurse is providing education to help reduce musculoskeletal injuries in adults. What should the nurse include in these instructions? Select all that apply

A nurse is performing a physical examination on a patient. When the patient is asked to protrude his tongue, the nurse noticed a deviation from the midline to the right side. This is related to a lesion of:

A nurse is conducting a physical examination of the musculoskeletal system of a client who reports having joint pain. Which signs indicate there is inflammation in the joints? Select all that apply.

In the Neuro ICU (intensive care unit) while performing a neurological assessment of the patient the nurse noticed the patient: patient opens eyes, looks at you, responds slowly, and is somewhat confused. What level of consciousness (LOC) is this patient presenting?

While conducting an assessment the nurse suspects that a client is making up things in response to specific questions. What behavior is this client demonstrating?