Which assessment findings are expected in a patient experiencing a left hemispheric brain attack?

Hemiparesis of the left arm and leg with nystagmus.

Eyelid and mouth drooping on the ipsilateral side.

Homonymous hemianopia of the left visual field of both eyes.

Hemiparesis of the right arm and leg with aphasia

Answer and Explanation

The Correct Answer is D

A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.

B. Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body.

C. Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia.

D. Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.

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Correct Answer is B

Explanation

A. "You have irreparably damaged your liver, there is no available treatment at this time.": Hepatitis A is usually a self-limiting illness with full recovery, and the liver often heals completely.

B. "A vaccine could have prevented this illness but a full recovery typically occurs with HAV.”: Hepatitis A can be prevented by vaccination, and most people recover fully without lasting liver damage.

C. "You likely came in contact with HAV-infected blood to have contracted this disease.": Hepatitis A is transmitted primarily through the fecal-oral route, not through blood contact.

D. "Expect to feel better in about a month but expect to have the symptoms for life.": While symptoms can last for several weeks to months, they do not persist for life in hepatitis A infections.

A. Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body. B. Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia. C. Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.

Correct Answer is A

Explanation

A. The patient is now sleepy and won't wake up: Increased drowsiness or difficulty waking up could indicate worsening of the hemorrhagic stroke, potentially due to increased intracranial pressure or a secondary brain injury.

B. Identification of an elevated serum cholesterol level: Elevated cholesterol is a risk factor for ischemic strokes but is not a direct indicator of complications from a hemorrhagic stroke.

C. The presence of nausea and a headache: This could be a common symptom following a hemorrhagic stroke but is not necessarily a specific indicator of a complication.

D. A complaint of neck pain and light intolerance: These symptoms are less specific to complications of a hemorrhagic stroke and could be related to other issues.

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Which assessment findings are expected in a patient experiencing a left hemispheric brain attack?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient presents to the emergency department (ED) with malaise, nausea and "yellow eyes." A diagnosis of hepatitis A (HAV) is confirmed. Which statement, by the registered nurse (RN), indicates an understanding of this illness?

Correct Answer is B

Explanation

A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.

Correct Answer is A

Explanation

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