A post-CVA patient who has weakness on the right side and impaired reasoning has had the CVA in the:
1. left hemisphere of the cerebrum.
2. right hemisphere of the cerebrum.
3. left cerebellum.
4. right cerebellum.
1
Impaired motor strength on the right side in conjunction with impaired reasoning indicates a lesion in the left hemisphere of the cerebrum. The cerebellum controls balance and is not contralateral.
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While reviewing a client's lab results, the nurse also checks the results of a throat culture performed yesterday on the client's son. Which of the following is an accurate statement regarding this action?
1. The nurse breached confidentiality. 2. The nurse can legally check this information if the child is under age 18. 3. The nurse should ask Medical Records for the son's results. 4. The nurse should ask another nurse to look up the information.
A client at a health care facility who underwent an open appendectomy describes to the nurse that he feels like something has "given way"
On inspecting the surgical wound, the nurse notes a pinkish drainage on the dressing and a visible separation between the two sides of the incision. What intervention should the nurse perform in this case? A) Position the client to put the least strain on the operated area. B) Place sterile dressings moistened with normal saline over the area. C) Inform the head nurse immediately about the client's condition. D) Inspect and palpate the wound to determine the extent of the secretion.
When evaluating a patient's use of a
metered-dose inhaler (MDI), the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time? a. Notify the doctor that the patient is unable to use the MDI. b. Obtain an order for a peak flow meter. c. Obtain an order for a spacer device. d. Ask the prescriber if the medication can be given orally.
When preparing an educational program on autoimmune disorders, the nurse should include the following topics: Select all that apply
1. Rheumatoid arthritis (RA) 2. Scleroderma 3. Systemic lupus erythematosus (SLE) 4. Gouty arthritis 5. Reactive arthritis