1. A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
A. Difficulty reading
Rationale: The left hemisphere is the center for language, mathematic skills and thinking analytically. A client...
Detailed Answer Key
SS.N4581 Stroke and Intracranial Problems
Q&A
1.A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which
of the following alterations in function should the nurse expect?
A. Difficulty reading
Rationale: The left hemisphere is the center for language, mathematic skills and thinking
analytically. A client who is unable to read following a stroke would have
involvement of the left hemisphere.
B. Inability to recognize his family members
Rationale: The right hemisphere is involved with visual and spatial awareness. A client who
is unable to recognize faces would have involvement with the right hemisphere.
C. Right hemiparesis
Rationale: The motor nerve fibers of the brain cross in the medulla, and a motor deficit on one
side of the body reflects damage to the upper motor neurons on the opposite side
of the brain. A client who has right hemiparesis would have involvement of the left
hemisphere.
D. Aphasia
Rationale: The left hemisphere is the center for language, mathematic skills and thinking
analytically. A client who is unable to speak or understand language following a
stroke would have involvement of the left hemisphere.
2.A nurse is teaching about risk factors of developing a stroke with a group of older adult
clients. Which of the following nonmodifiable risk factors should the nurse include in the
teaching?
A. History of smoking
Rationale: Smoking is a modifiable risk factor, because the client has an ability to change via
cessation.
B. Obesity
Rationale: Obesity is a modifiable risk factor, because the client should have the ability to
change via diet.
C. History of hypertension
Rationale: Hypertension is a modifiable risk factor, because the client should have the ability
to change via medication, exercise, and diet.
D. Race
Rationale: Race is a nonmodifiable risk factor, which the client is unable to control.
3.A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse
should monitor for which of the following findings?
Created Page 1
on:01/18/2021
, Detailed Answer Key
SS.N4581 Stroke and Intracranial Problems
A. Poor impulse control
Rationale:
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on:01/18/2021
, Detailed Answer Key
SS.N4581 Stroke and Intracranial Problems
A client who had a stroke involving the right cerebral hemisphere is likely to
have personality changes, which can include impulsiveness, confabulation, and
poor judgment.
B. Unable to discriminate words and letters
Rationale: A client who had a stroke involving the left cerebral hemisphere is likely to have
deficits that involve language, mathematical skills, and thinking. The nurse should
expect the client who had a stroke involving the right cerebral hemisphere to have
deficits that include loss of sense of humor, inability to recognize faces, and
disorientation to time, place and person.
C. Deficits in the right visual field
Rationale: A client who had a stroke involving the left cerebral hemisphere is likely to have
deficits in the right visual field. The nurse should expect the client who had a stroke
involving the right cerebral hemisphere to have deficits that include neglect of the
left visual field and loss of depth perception.
D. Motor retardation
Rationale: A client who had a stroke involving the left cerebral hemisphere is likely to have
motor retardation, cautiousness and possibly depression. The nurse should expect
the client who had a stroke involving the right cerebral hemisphere to have deficits
that include euphoria, overestimation of abilities and lack of awareness of
neurologic deficits.
4.A nurse is caring for a client who had a stroke involving the left cerebral hemisphere. The nurse
should monitor for which of the following findings?
A. Impaired sense of humor
Rationale: A client who had a stroke involving the left cerebral hemisphere is likely to have
language deficits, which include difficult using or comprehending language and
difficulty writing. The nurse should expect a client who had a stroke involving the
right cerebral hemisphere to have an impaired sense of humor.
B. Loss of depth perception
Rationale: A client who had a stroke involving the left cerebral hemisphere is more likely to
have visual deficits which include inability to discriminate words and letters,
reading problems and deficits in the right visual field. The nurse should expect a
client who had a stroke involving the right cerebral hemisphere to have loss of
depth perception, visual spatial deficits and neglect of the left visual field.
C. Poor judgment
Rationale: A client who had a stroke involving the left cerebral hemisphere is more likely to
have behavior changes that include cautiousness, depression and anxiety. The
nurse should expect a client who had a stroke involving the right cerebral
hemisphere to have personality changes which can include impulsiveness,
confabulation and poor judgment.
D. Intellectual impairment
Rationale: A client who had a stroke involving the left cerebral hemisphere is likely to have
deficits that involve language, mathematical skills, and thinking.
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on:01/18/2021
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