The nurse is assigned to care for a client with complete right-sided hemiparesis [weakness] from a stroke (brain attack).

admitting diagnosis

cerebrovascular attack

Right-sided hemiparesis

Which characteristics are associated with this condition? Select 2 that apply.

The client has complete bilateral paralysis of the arms and legs.

The client has lost the ability to move the right arm but is able to walk independently.

The client has weakness on the right side of the face and tongue.

The client has lost the ability to ambulate independently but is able to feed and bathe herself or himself without assistance.

The client has weakness on the right side of the body.

Answer and Explanation

Correct Answer : D,F

A. This statement indicates complete paralysis of both sides, which does not apply to hemiparesis, where one side is affected.
B. While this could describe some patients, it does not accurately represent "complete" right-sided hemiparesis.
C. This option is a repeat and also does not accurately reflect complete right-sided hemiparesis.
D. Weakness on the right side of the face and tongue is consistent with right-sided hemiparesis, as the stroke may affect motor control in those areas.
E. This describes a client who is less severely affected and may not apply to someone with complete right-sided hemiparesis.
F. Weakness on the right side of the body is a direct characteristic of right-sided hemiparesis.

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Correct Answer is B

Explanation

A. A pulse oximeter is used to measure oxygen saturation and is not relevant to cochlear dysfunction.

B. A hearing aid is appropriate for someone with cochlear dysfunction as it can help amplify sound and improve hearing, indicating the client is adapting to the hearing loss.

C. Eyeglasses are used for vision problems and do not relate to the function of the cochlear division of the vestibulocochlear nerve.

D. A bath thermometer is used to measure water temperature and is not relevant to auditory

A. Rounded B. Scaphoid C. Flat D. Protuberant

Correct Answer is D

Explanation

A. Rounded describes a normal abdomen but does not convey the greater extent of fullness seen in this case.

B. Scaphoid describes a concave abdomen, which does not apply to this situation.

C. Flat indicates no significant contour changes, which does not apply here.

D. Protuberant is the correct term, as it describes an abdomen that is significantly distended and is characteristic of conditions like pregnancy, ascites, or obesity.

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The nurse is assigned to care for a client with complete right-sided hemiparesis [weakness] from a stroke (brain attack). admitting diagnosis cerebrovascular attack Right-sided hemiparesis Which characteristics are associated with this condition? Select 2 that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has dysfunction of the cochlear division of the vestibulocochlear nerve (cranial nerve VIII). The nurse should determine that the client is adequately adapting to this problem if he or she states a plan to obtain which item?

Correct Answer is B

Explanation

While performing an abdominal assessment on a patient, the nurse notes an abdomen shape similar to the rounded abdomen only greater. This contour is anticipated in pregnancy and seen in adults with ascites and obesity. What term should the nurse use to document this finding?

Correct Answer is D

Explanation

The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, [normal range: 7.35-7.45] Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45] HCO3- of 20 mEq/L (20 mmol/L), [normal range: 22-26] Which condition would the nurse analyze these results to indicate?

A nurse is interpreting the ECG strip of a client who has bradycardia. Which cardiac components should the nurse identify as the role of the P wave?

A nurse is teaching about the risk factors of developing a stroke with a group of older adult clients. Which nonmodifiable risk factors should the nurse include in the teaching?

The nurse is assigned to care for a client with complete right-sided hemiparesis [weakness] from a stroke (brain attack). admitting diagnosis cerebrovascular attack Right-sided hemiparesis Which characteristics are associated with this condition? Select 2 that apply.

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve III?

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which adventitious breath sounds?

A nurse is preparing a program on osteoporosis for a local women's group. Which of the findings does the nurse recognize as a modifiable risk factor?

A nurse is assessing a client for manifestations of pain. Which finding is a subjective indicator of pain?

The nurse is assigned to care for a client with complete right-sided hemiparesis [weakness] from a stroke (brain attack).

admitting diagnosis

cerebrovascular attack

Right-sided hemiparesis

Which characteristics are associated with this condition? Select 2 that apply.