The nurse is providing care for a patient diagnosed with a stroke resulting in language disorder. Which type of disorder does the nurse recognize if the patient raises an arm in response to the nurse's direction to stick out his tongue?

Dysphasia

Dysarthria

Expressive aphasia

Receptive aphasia

Answer and Explanation

The Correct Answer is D

A. Dysphasia is a general term for difficulty with speech and language, which can involve problems with speaking, understanding, reading, or writing. It is not specific to the patient's response of raising an arm instead of sticking out the tongue.

B. Dysarthria refers to difficulty with the physical act of speaking due to weakness or incoordination of the muscles involved in speech. It does not involve comprehension or understanding of language.

C. Expressive aphasia refers to difficulty expressing thoughts verbally or in writing, but the patient typically understands language. This does not match the patient's response to the nurse's command.

D. Receptive aphasia is characterized by difficulty understanding spoken or written language. The patient may not comprehend the nurse's instructions, leading to inappropriate responses, such as raising an arm instead of sticking out the tongue.

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Correct Answer is A

Explanation

A. Vitamin K is the antidote for excessive anticoagulation caused by warfarin. It helps to reverse the effects of warfarin by promoting the synthesis of clotting factors.

B. Naloxone is used to reverse opioid overdose, not related to warfarin or its effects.

C. Disulfiram is used to treat alcohol use disorder by causing unpleasant effects when alcohol is consumed, and is unrelated to warfarin.

D. Protamine is used to reverse the effects of heparin, not warfarin.

A. Have the client wear a cervical collar for the first 12 hr. B. Head of her bed elevated 30 degrees C. Logroll the client every 2 hr. D. Supine with her arms elevated on pillows

Correct Answer is C

Explanation

A. A cervical collar is not necessary for a lumbar laminectomy. A cervical collar is used for neck surgeries or spinal cord injuries involving the cervical spine, not for lumbar procedures.

B. The head of the bed elevated 30 degrees may be appropriate for certain conditions, but after a lumbar laminectomy, it is typically recommended to keep the head of the bed flat or slightly elevated to reduce pressure on the spine.

C. Logrolling the client every 2 hr is the correct action. After a lumbar laminectomy, the nurse should use the logroll technique to turn the patient to prevent strain on the spine and promote proper healing.

D. Supine with her arms elevated on pillows is not the best position. While elevation of the arms may be helpful for comfort, the focus should be on protecting the lumbar spine and ensuring proper positioning to prevent strain.

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The nurse is providing care for a patient diagnosed with a stroke resulting in language disorder. Which type of disorder does the nurse recognize if the patient raises an arm in response to the nurse's direction to stick out his tongue?

Nursing Test Bank

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Correct Answer is C

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