Which of the following describes Locked-in Syndrome?
Inability to move or respond except for eye movements due to a lesion affecting the pons
Unconsciousness, unarousable unresponsiveness
Unresponsiveness to the environment, makes no movement or sound but sometimes opens eyes
Devoid of cognitive function but has sleep-wake cycles
The Correct Answer is A
Choice A: Inability to move or respond except for eye movements due to a lesion affecting the pons is a description of locked-in syndrome, as it is a state of complete paralysis and preserved consciousness caused by damage to the brainstem.
Choice B: Unconsciousness, unarousable unresponsiveness is not a description of locked-in syndrome, but rather a description of coma, as it is a state of complete loss of consciousness and reflexes caused by severe brain injury.
Choice C: Unresponsiveness to the environment, makes no movement or sound but sometimes opens eyes is not a description of locked-in syndrome, but rather a description of akinetic mutism, as it is a state of severe apathy and reduced motor activity caused by damage to the frontal lobes or basal ganglia.
Choice D: Devoid of cognitive function but has sleep-wake cycles is not a description of locked-in syndrome, but rather a description of persistent vegetative state, as it is a state of minimal awareness and responsiveness caused by widespread brain damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Paralysis of the joints is not a description of dysarthria, but rather a possible complication of stroke or other neurological disorders.
Choice B: Blindness over half the field of vision is not a description of dysarthria, but rather a sign/symptom of hemianopia or visual field loss.
Choice C: Difficult or unclear articulation of speech is a description of dysarthria, as it is a motor speech disorder caused by weakness or paralysis of the muscles involved in speech production.
Choice D: Paralysis of one side of the body is not a description of dysarthria, but rather a sign/symptom of hemiplegia or unilateral weakness.
Correct Answer is A
Explanation
Choice A: Respiratory status is the first priority, as it can affect the oxygenation and perfusion of the brain and other vital organs. The nurse should assess the rate, rhythm, depth, and quality of breathing, as well as the use of accessory muscles, chest expansion, and lung sounds.
Choice B: Alertness is not the first priority, but rather a component of the level of consciousness. The nurse should assess the patient's ability to open their eyes spontaneously or in response to stimuli, as well as their orientation to person, place, time, and situation.
Choice C: Motor response is not the first priority, but rather a component of the level of consciousness. The nurse should assess the patient's ability to move their limbs voluntarily or in response to stimuli, as well as their muscle strength, tone, and coordination.
Choice D: Verbal response is not the first priority, but rather a component of the level of consciousness. The nurse should assess the patient's ability to speak clearly and coherently, as well as their content and appropriateness of speech.
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