Nokea
Hemiplegia, hemianesthesia & hemianopia develop together with disease in the:
- A. spinal cord
- B. internal capsule
- C. thalamus
- D. brainstem
Correct Answer: B
Rationale: Internal capsule is the correct answer because it contains ascending and descending nerve fibers that transmit motor and sensory information between the brain and the spinal cord. Damage to the internal capsule can result in hemiplegia (paralysis on one side), hemianesthesia (sensory loss on one side), and hemianopia (visual field loss on one side) due to the dense concentration of these fibers in this region.
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When an individual displays a deficit in the comprehension of speech involving difficulties in recognising spoken words and converting thoughts into words is known as
- A. Wernicke's aphasia
- B. Broca's aphasia
- C. Beidecker's aphasia
- D. Warnick's aphasia
Correct Answer: A
Rationale: Wernicke's aphasia is a language disorder characterized by difficulties in understanding spoken language and converting thoughts into coherent speech. Individuals with this condition may produce fluent but nonsensical speech and struggle to recognize spoken words. This condition results from damage to Wernicke's area, a region in the temporal lobe responsible for language comprehension.
The patient is told by the health care provider that the size of the patient's muscle has decreased. How should the nurse document this occurrence?
- A. Hyaline
- B. Atrophy
- C. Isometric
- D. Hypertrophy
Correct Answer: B
Rationale: Atrophy refers to muscle shrinkage.
When assessing a patient's mental status, the nurse should:
- A. Evaluate the patient's orientation, memory, and cognitive function.
- B. Measure the patient's blood pressure.
- C. Inspect the patient's skin for abnormalities.
- D. Check the patient's respiratory rate.
Correct Answer: A
Rationale: Mental status assessment involves evaluating orientation, memory, and cognitive function. Blood pressure, skin inspection, and respiratory rate are unrelated to mental status.
Which of the following signs is present in a client with meningitis and is described as the inability to extend the leg when the thigh is flexed on the abdomen?
- A. Opisthotonos
- B. Positive Brudzinski's sign
- C. Positive Kernig's sign
- D. Nuchal rigidity
Correct Answer: C
Rationale: Kernig's sign is characterized by this specific limitation in leg extension.
Benzodiazepine medication is being used to help manage this patient's behavior?
- A. Sertraline (Zoloft)
- B. Donepezil (Aricept)
- C. Lorazepam (Ativan)
- D. Risperidone (Risperdal)
Correct Answer: C
Rationale: Lorazepam is a benzodiazepine used for agitation