Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
A. Inability to recognize his family members
Correct. A stroke involving the right hemisphere can impair the ability to recognize faces, a condition known as prosopagnosia. Choice C is also correct.
B. Difficulty reading
Incorrect. Difficulty reading is more likely to occur with a stroke involving the left hemisphere, which is responsible for language processing.
C. Right hemiparesis
Correct. A stroke involving the right hemisphere can cause weakness or paralysis of the left side of the body, a condition known as right hemiparesis.
D. Aphasia
Incorrect. Aphasia, or difficulty with speech and language, is more likely to occur with a stroke involving the left hemisphere, which is responsible for language production and comprehension.
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Similar Questions
A client has a history of atrial fibrillation. Which of the following is the nurse likely to see on the clients medication history to prevent stroke?
A. antihyperlipidemics
Antihyperlipidemics are used to lower cholesterol levels and prevent atherosclerosis, which can lead to coronary artery disease and myocardial infarction. They do not directly prevent stroke, which is caused by a clot or hemorrhage in the brain.
B. oral anticoagulants
Oral anticoagulants are used to prevent blood clots from forming or growing larger, which can cause stroke in patients with atrial fibrillation. Atrial fibrillation is a type of irregular heartbeatthat increases the risk of stroke because it can cause blood to pool and clot in the atria, the upper chambers of the heart.
C. a patch for smoking cessation
A patch for smoking cessation is used to help smokers quit by delivering nicotine through the skin. Smoking is a risk factor for stroke, but quitting smoking does not require a prescriptionmedication.
D. insulin
Insulin is used to treat diabetes mellitus, which is a condition where the body does not produce enough insulin or use it properly. Insulin helps lower blood glucose levels and prevent complications such as kidney damage and nerve damage. Diabetes is a risk factor for stroke, but insulin does not directly prevent stroke.
A client is extremely drowsy, minimally responsive, and has a difficult time following commands. With vigorous stimulation the client awakens but quickly falls back asleep. What level of consciousness does this describe?
A. lethargy
Lethargy is a state of reduced alertness and awareness, where the client is sleepy but can be aroused easily and respond appropriately.
B. obtunded
Obtunded is a state of decreased alertness and responsiveness, where the client is difficult to arouse and has limited interaction with the environment.
C. stuporous
Stuporous is a state of deep unconsciousness, where the client is unresponsive to most stimuli and requires painful stimulation to elicit a response.
D. confusion
Confusion is a state of impaired orientation and memory, where the client is awake but has difficulty understanding and following commands.
A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse Include in the client's plan of care?
A. Obtain IV access.
Correct. Obtaining IV access is an important intervention for a client who is prescribed seizure precautions, as it allows for the administration of anticonvulsant medications and fluids in case of a seizure.
B. Place the client's bed in the high position.
Incorrect. Placing the client's bed in the high position increases the risk of injury if the client falls out of bed during a seizure. The bed should be in the lowest position with the side rails up and padded.
C. Keep a padded tongue blade available at the client's bedside.
Incorrect. Keeping a padded tongue blade available at the client's bedside is not recommended, as it can cause oral trauma or airway obstruction if inserted during a seizure. The nurse should never force anything into the client's mouth during a seizure.
D. Keep the lights on when the client is sleeping.
Incorrect. Keeping the lights on when the client is sleeping is not necessary for a client who is prescribed seizure precautions, as it can interfere with the client's rest and sleep quality. The nurse should provide a quiet and dark environment for the client to sleep.