Which of the following would the nurse most likely expect to find when assessing a client diagnosed with a frontal lobe contusion (in the Broca's Area) following a motor vehicle accident?

Blurred vision

Difficulty speaking

Loss of tactile sensation

inability to hear high-pitched sounds

Answer and Explanation

The Correct Answer is B

A.   Blurred vision is generally associated with visual system issues, which involve the occipital lobe or the visual pathways rather than the frontal lobe. Broca’s area, located in the frontal lobe, is involved in speech production and not in vision processing.
B.   Difficulty speaking is a key symptom associated with damage to Broca’s area, which is located in the frontal lobe and responsible for speech production. A contusion in this area can lead to expressive aphasia, where the individual has trouble forming grammatically correct sentences and articulating words, while comprehension remains relatively intact.
C.   Loss of tactile sensation would generally be associated with damage to the parietal lobe, where the primary somatosensory cortex is located. The parietal lobe processes sensory information such as touch, temperature, and pain. Since Broca’s area is located in the frontal lobe and primarily deals with language production, loss of tactile sensation is not typically expected from a frontal lobe contusion affecting Broca's area.
D.   Inability to hear high-pitched sounds relates to issues with the auditory pathways or structures involved in hearing, such as the temporal lobe or the auditory cortex, not the frontal lobe. The frontal lobe and Broca’s area do not directly control auditory perception.

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Correct Answer is ["B","C","D"]

Explanation

A. The Kernig sign is a clinical test used to diagnose meningitis, not stroke. It involves flexing the patient’s hip and knee and then attempting to extend the knee while the hip is flexed. Pain or resistance during this maneuver can suggest meningeal irritation.
B. Arm weakness refers to the loss of strength or control in one or both arms, which can be a sign of a stroke. It may be noticeable when a person is unable to lift their arm or keep it raised.
C. Sudden confusion, trouble understanding, or difficulty speaking can be signs of a stroke. This may involve problems with language or comprehension, which are related to the areas of the brain responsible for these functions.
D. Face drooping, especially on one side of the face, is a classic sign of stroke. It occurs when the muscles on one side of the face weaken or become paralyzed.
E. The Babinski reflex is a test where the sole of the foot is stroked, and the normal response in adults is the downward flexion of the toes. An abnormal Babinski reflex (upward extension of the big toe) can indicate neurological problems but is not a specific warning sign of stroke.
F. Speech difficulty, such as slurred speech or trouble finding words, is a common sign of a stroke. It can involve problems with articulation, coherence, or understanding language.

A. Coma B. Stupor C. Lethargy D. Obtunded

Correct Answer is D

Explanation

A. Coma is a state of profound unconsciousness where the patient cannot be awakened and does not respond to any external stimuli. The patient is completely unresponsive, with no eye opening or verbal responses.
B. Stupor is a state where the patient is almost completely unresponsive and can only be awakened by vigorous or painful stimuli. When aroused, they may only give brief, non-purposeful responses.
C. Lethargy is characterized by drowsiness and decreased alertness. The patient may fall asleep easily but can be awakened and will respond appropriately to stimuli. They might appear sluggish or tired.
D. Obtunded refers to a state where the patient has a reduced level of consciousness and responsiveness. They may be difficult to arouse, respond slowly to stimuli, and have a dulled sense of awareness. They need increased stimulation to achieve a response.

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Which of the following would the nurse most likely expect to find when assessing a client diagnosed with a frontal lobe contusion (in the Broca's Area) following a motor vehicle accident?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Stroke Warning signs includes? Select all that applied.

Correct Answer is ["B","C","D"]

Explanation

In the Neuro ICU (intensive care unit) while performing a neurological assessment of the patient the nurse noticed the patient: patient opens eyes, looks at you, responds slowly, and is somewhat confused. What level of consciousness (LOC) is this patient presenting?

Correct Answer is D

Explanation

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