Susan, 55, presents with a right Intracerebral hemorrhage. Lab results show an elevated ICP. What would you expect to find in your neurological assessment?
Left-sided hemiparesis and dilated right pupil
Right-sided hemiparesis and dilated right pupil
Bilateral handgrip strength is equal and reactive pupils
Pupils are pinpoint but reactive
The Correct Answer is A
A. Right intracerebral hemorrhage typically causes symptoms on the opposite side of the body (left-sided hemiparesis) and a dilated ipsilateral (right) pupil due to pressure on the oculomotor nerve.
B. Right intracerebral hemorrhage typically results in left-sided hemiparesis due to damage to the motor pathways on the right side of the brain, along with a dilated right pupil due to compression of the ipsilateral (right) oculomotor nerve.
C. Bilateral handgrip strength being equal suggests no focal motor deficits, which would be unusual in the context of an intracerebral hemorrhage. Reactive pupils would not be expected in this scenario.
D. Pinpoint pupils are typically associated with opioid overdose or pontine lesions, not intracerebral hemorrhage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This describes the humoral immune response, where B lymphocytes produce antibodies against the virus.
B. This describes the systemic effects of inflammation, which can occur in both humoral and cell-mediated responses.
C. This accurately describes the cell-mediated immune response, where T lymphocytes directly target and kill infected cells.
D. The cell-mediated immune response can occur independently of changes in white blood cell (WBC) count.
Correct Answer is D
Explanation
A. There's no indication of a bacterial infection, so antibiotics are not warranted.
B. A biopsy may be considered if the diagnosis is uncertain, but it's not the first-line action.
C. Tretinoin is typically used for conditions like acne or photoaging, not for eczematous lesions.
D. Corticosteroid creams are commonly used to reduce inflammation and itching associated with eczema, making this the most appropriate action.
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