NCLEX-RN (ADULT NEUROVASCULAR)
The nurse is caring for a client diagnosed with Broca aphasia due to a stroke. Which of the
following deficits would the nurse correctly attribute to Broca aphasia? SATA
1. Client coughs and gasps when swallowing food/liquids
2. Client is easily frustrated while attempting to speak
3. Client is unable to understand speech and is completely nonverbal
4. Client mis understands and inappropriately responds to verbal instruction
5. Client's speech is limited to short phrases that require effort
2. Client is easily frustrated while attempting to speak
5. Client's speech is limited to short phrases that require effort
The nurse is caring for a client with Bell palsy. Which of the following assessment findings does
the nurse expect? SATA
1. Change in lacrimation on the affected area
2. Electric shock (like pain in the lips and gums)
3. Flattening of the nasolabial fold
4. Inability to smile symmetrically
5. Severe pain along the cheekbone
1. Change in lacrimation on the affected area
3. Flattening of the nasolabial fold
4. Inability to smile symmetrically
**Bell palsy is unilateral facial paralysis is by inflammation of the facial nerve in the absence of a
stroke.
, **Inability to close the eye on affected eye, alteration in tear production (dryness), flattening of
nasolabial fold, inability to smile or frown.
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Brainpower
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The HCP prescribes a multivitamin regimen that includes thiamine for a client with a history of
chronic alcohol abuse. The nurse is aware that thiamine is given to this client population for
which purpose?
1. To lower the blood alcohol level
2. To prevent gross tremors
3. To prevent Wernicke encephalopathy
4. To treat seizures related to acute alcohol withdrawal
3. To prevent Wernicke encephalopathy
**Chronic alcohol abuse suffer from poor nutrition. Poor thiamine intake can lead to Wernicke
Encephalopathy, which causes altered mental status, oculomotor dysfunction and ataxia.
The nurse is caring for a client with a history of tonic-clonic seizures. After a seizure lasting 25
seconds, the nurse notes that the client is confused 20 minutes. The client does not know the
current location, does not know the current season and has a headache. The nurse documents
the confusion and headache as which phase of the client's seizure activity?
1. Aural phase
2. Ictal phase
3. Post-ictal phase
4. Prodromal phase
3. Post-ictal phase
The prodromal phase is period of warning sign (before aural phase)
The aural phase (period before seizure when client may experience visual/sensory changes)
The ictal phase (period of active seizure activity)
The nurse is caring for a client diagnosed with Broca aphasia due to a stroke. Which of the
following deficits would the nurse correctly attribute to Broca aphasia? SATA
1. Client coughs and gasps when swallowing food/liquids
2. Client is easily frustrated while attempting to speak
3. Client is unable to understand speech and is completely nonverbal
4. Client mis understands and inappropriately responds to verbal instruction
5. Client's speech is limited to short phrases that require effort
2. Client is easily frustrated while attempting to speak
5. Client's speech is limited to short phrases that require effort
The nurse is caring for a client with Bell palsy. Which of the following assessment findings does
the nurse expect? SATA
1. Change in lacrimation on the affected area
2. Electric shock (like pain in the lips and gums)
3. Flattening of the nasolabial fold
4. Inability to smile symmetrically
5. Severe pain along the cheekbone
1. Change in lacrimation on the affected area
3. Flattening of the nasolabial fold
4. Inability to smile symmetrically
**Bell palsy is unilateral facial paralysis is by inflammation of the facial nerve in the absence of a
stroke.
, **Inability to close the eye on affected eye, alteration in tear production (dryness), flattening of
nasolabial fold, inability to smile or frown.
0:14
/
0:15
Brainpower
Read More
The HCP prescribes a multivitamin regimen that includes thiamine for a client with a history of
chronic alcohol abuse. The nurse is aware that thiamine is given to this client population for
which purpose?
1. To lower the blood alcohol level
2. To prevent gross tremors
3. To prevent Wernicke encephalopathy
4. To treat seizures related to acute alcohol withdrawal
3. To prevent Wernicke encephalopathy
**Chronic alcohol abuse suffer from poor nutrition. Poor thiamine intake can lead to Wernicke
Encephalopathy, which causes altered mental status, oculomotor dysfunction and ataxia.
The nurse is caring for a client with a history of tonic-clonic seizures. After a seizure lasting 25
seconds, the nurse notes that the client is confused 20 minutes. The client does not know the
current location, does not know the current season and has a headache. The nurse documents
the confusion and headache as which phase of the client's seizure activity?
1. Aural phase
2. Ictal phase
3. Post-ictal phase
4. Prodromal phase
3. Post-ictal phase
The prodromal phase is period of warning sign (before aural phase)
The aural phase (period before seizure when client may experience visual/sensory changes)
The ictal phase (period of active seizure activity)
