NUR2212 FINAL EXAM QUESTION BANK APPROVED EXAM QUESTIONS AND ANSWERS//MASTERY EAQ CH 41 MS2 NUR2212 wk10
The nurse expects a
... [Show More] patient to experience which phenomenon as a result of a stroke that caused damage to the Broca area of the frontal lobe? Expressive aphasia
Rationale The patient with damage to the Broca area will experience expressive aphasia; it is a motor speech problem in which the patient generally understands what is being said but cannot communicate verbally. Writing skills are also affected. Rote speech and automatic speech such as responses to a greeting are often intact. Receptive aphasia is due to injury involving the Wernicke area in the temporoparietal area; patients cannot understand the spoken, and often the written, word, and language is often meaningless. Dysarthria is due to a loss of motor function to the tongue or to the muscles of speech, causing facial weakness and slurred speech. Patients with damage to the Broca area will not experience stuttering.
The nurse suspects which type of stroke when the assessment findings of a patient include perseveration, loss of deep sensation, and decreased touch sensation? Posterior cerebral artery stroke
The posterior cerebral arteries are a pair of blood vessels that supply oxygenated blood to the occipital lobe. Perseveration, loss of deep sensation, and decreased touch sensation are symptoms of posterior cerebral artery strokes. Perseveration is not a symptom of internal carotid artery, middle cerebral artery, and vertebrobasilar artery strokes. The vertebrobasilar artery supplies blood to the posterior part of the circle of Willis. The middle cerebral artery supplies blood to the cerebrum. The internal carotid artery supplies blood to the brain. How does the nurse respond when a patient who experienced a stroke reports food accumulating in the cheek of the affected side? "A speech-language pathologist should provide an evaluation."
Rationale The speech-language pathologist identifies strategies to prevent food from accumulating in the cheek of the affected side of a patient recovering from a stroke. Switching the patient to a lowsodium diet will not help with swallowing problems. Sitting in a semi-Fowler position (15 to 45 degrees) will be not helpful for patients with a swallowing problem. The correct technique to improve swallowing is the chin-tuck method; however, the speech-language pathologist will assist the patient with tongue exercises that will help move the food bolus to the unaffected side. Which risk factor for stroke is modifiable? Obesity
Obesity is a modifiable risk factor for stroke; a patient can lose weight with certain lifestyle changes. Age, sex, and family history
of hypertension are risk factors for stroke, but they are not modifiable. Which cause of stroke is an abnormality that occurs during embryonic development? Arteriovenous malformation
RationaleArteriovenous malformation is very rare and occurs during embryonic development. Aneurysm occurs because of a condition that leads to weakening of artery walls such as atherosclerosis and hypertension. Vasospasm happens when bleeding occurs because of aneurysm or arteriovenous malformation. Atherosclerosis occurs because of a decrease in blood supply resulting from thrombosis. These abnormalities are not limited to the embryonic development stage. The nurse suspects which type of stroke when a patient presents with perpetual, spatial, and visual field deficits? Middle cerebral artery stroke
Rationale Perpetual, spatial, and visual deficits are key features of middle cerebral artery strokes. Contralateral hemiparesis, hemianopsia, blurred vision, and blindness are key features of internal carotid artery strokes. Contralateral hemiparesis, aphasia, and amnesia are clinical features of anterior cerebral artery strokes. Loss of deep sensation, decreased touch sensation, aphasia, and amnesia are clinical features of posterior cerebral artery strokes. The nurse recognizes that which patient assessment finding is consistent with a stroke in the right hemisphere? Unawareness of any deficit
RationaleAs a result of right-hemisphere lesions, the patient may be impulsive and seemingly unaware of any deficit. Deficit in the right visual field, slowness, and anger and frustration are the symptoms of a left-hemisphere stroke. [Show Less]