Nokea
The nurse is caring for a client following a stroke. The client can understand instructions but is unable to express himself verbally. The nurse anticipates that this stroke has impacted which lobe of the client's brain?
- A. Frontal lobe
- B. Parietal lobe
- C. Temporal lobe
- D. Occipital lobe
Correct Answer: A
Rationale: Expressive aphasia is associated with frontal lobe stroke, particularly Broca's area.
You may also like to solve these questions
The nurse has received a prescription for a mannitol infusion. Which type of intravenous tubing should be used to administer mannitol?
- A. Microdrip
- B. Filtered
- C. Vented
- D. Non-vented
Correct Answer: B
Rationale: Mannitol is a hyperosmolar diuretic that can crystallize in IV tubing, potentially causing blockages. Filtered tubing is required to prevent crystals from entering the bloodstream, ensuring safe administration. Microdrip, vented, and non-vented tubing do not address this risk.
The nurse who is caring for a post-stroke client suddenly notes that the client has a fixed and dilated pupil. What would be the most appropriate action by the nurse?
- A. Reduce environmental stimuli.
- B. Reassess after ten minutes.
- C. Check the client's blood pressure.
- D. Notify the physician.
Correct Answer: D
Rationale: A fixed and dilated pupil suggests increased intracranial pressure, requiring immediate physician notification.
The nurse is performing a medication reconciliation for a client taking prescribed phenytoin. Which medication should the nurse question with the physician while the client is taking phenytoin?
- A. Thiamine
- B. Prazosin
- C. Warfarin
- D. Acyclovir
Correct Answer: C
Rationale: Phenytoin induces liver enzymes, which can decrease warfarin's effectiveness, increasing the risk of clotting. Thiamine, prazosin, and acyclovir have no significant interactions with phenytoin.
The nurse is caring for a client who has been prescribed carbidopa-levodopa for Parkinson's disease. The nurse should instruct the client that this medication may cause Select all that apply.
- A. Urine to appear darker
- B. Hallucinations
- C. Dizziness upon standing
- D. Dry, non-productive cough
- E. Painful rash that spreads and blisters
Correct Answer: A,B,C
Rationale: Carbidopa-levodopa can cause darker urine (due to metabolism), hallucinations (a CNS side effect), and dizziness upon standing (orthostatic hypotension). Dry cough and rashes are not typical side effects.
The nurse is caring for a client who sustained an ischemic cerebrovascular accident (CVA) three hours ago. The client's most recent blood pressure was 168/101 mm Hg. The nurse should take which action?
- A. Position the head of the bed completely flat
- B. Continue to monitor the client
- C. Obtain orthostatic blood pressure
- D. Request a prescription for an antihypertensive
Correct Answer: B
Rationale: Blood pressure monitoring is appropriate as 168/101 mmHg is within acceptable limits for acute ischemic stroke unless thrombolytics are planned.