A 73-year-old patient with a stroke experiences facial drooping on the right side and right-sided arm and leg paralysis. When admitting the patient, which clinical manifestation will the nurse expect to find?
a. Impulsive behavior
b. Right-sided neglect
c. Hyperactive left-sided tendon reflexes
d. Difficulty comprehending instructions
ANS: D
Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with comprehension and use of language. The left-side reflexes are likely to be intact. Impulsive behavior and neglect are more likely with a right-side stroke.
You might also like to view...
A few weeks after learning that she was unsuccessful on her first writing of the NCLEX-PN®, a nursing graduate has begun the process of preparing to take the exam again
What should the graduate do in order to prepare for retaking the NCLEX-PN®? (Select all that apply) A) Arrange a clinical internship to gain more bedside experience B) Focus her studying on the areas that were most challenging on the first exam. C) Take mock exams, focusing on the types of questions where she had difficulty. D) Get help from a nursing instructor on interpreting her Candidate Performance Review. E) Ask LP/VNs who have passed the NCLEX-PN® about why they believe they were successful.
The nursing student developing a presentation on the early history of nursing is not able to find much information about this period. Why is the nurse unable to find any information?
1. There were not many nurses, so only the sickest people received nursing care. 2. Many of those providing care to the sick were slaves. 3. Only men provided health information and care. 4. Only the wealthiest of patients were provided nursing care.
A 58-year-old man who leads a busy lifestyle managing his own business has been diagnosed with a gastric ulcer
The man has told the nurse, "My wife warned me that my job stress would eventually catch up with me!" How should the nurse best respond to the patient's statement? A) "Actually, it's been found that stress doesn't really cause ulcers." B) "Researchers have found that your environment is the most significant cause of ulcers." C) "Ulcers aren't caused by anything specific; some people develop them for no particular reason." D) "Most ulcers are a consequence of the different medications that you take."
A nurse is working in a health department when a patient arrives who has been traveling to South America and has been diagnosed with malaria. Which of the following considerations should be made by the nurse?
a. The Morbidity and Mortality Weekly Re-port should be consulted to investigate the rate of malaria in the United States. b. This is a disease that must be reported to the state health department. c. The nurse should take precautions to wear a mask and gown to avoid exposure. d. The patient is very ill and should be sent to the hospital immediately.