A patient has an atherosclerotic plaque in the middle cerebral artery. What does the nurse recognize about this patient's situation?

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Question 1 of 5

A patient has an atherosclerotic plaque in the middle cerebral artery. What does the nurse recognize about this patient's situation?

A. Assessment will reveal distended jugular veins. B. Cerebral circulation may be maintained through the circle of Willis. C. The patient will develop a loss of temporal and parietal lobe function. D. Increased pressure in the middle cerebral artery will back up into the vertebral arteries.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 70-year-old patient is admitted after falling from his roof. He has a spinal cord injury at the C7 level. What findings during the assessment identify the presence of spinal shock?

A. Paraplegia with a flaccid paralysis B. Tetraplegia with total sensory loss C. Total hemiplegia with sensory and motor loss D. Spastic tetraplegia with loss of pressure sensation

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The patient is diagnosed with Brown-Séquard syndrome after a knife wound to the spine. Which description accurately describes this syndrome?

A. Damage to the most distal cord and nerve roots, resulting in flaccid paralysis of the lower limbs and areflexic bowel and bladder B. Spinal cord damage resulting in ipsilateral motor paralysis and contralateral loss of pain and sensation below the level of the lesion C. Rare cord damage resulting in loss of proprioception below the lesion level with retention of motor control and temperature and pain sensation D. Often caused by flexion injury with acute compression of cord resulting in complete motor paralysis and loss of pain and temperature sensation below the level of injury

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Following a T2 spinal cord injury, the patient develops paralytic ileus. While this condition is present, what should the nurse anticipate that the patient will need?

A. IV fluids B. Tube feedings C. Parenteral nutrition D. Nasogastric suctioning

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A week following a spinal cord injury at T2, a patient experiences movement in his leg and tells the nurse that he is recovering some function. What is the nurse's best response to the patient?

A. It is really still too soon to know if you will have a return of function.' B. That could be a really positive finding. Can you show me the movement?' C. That's wonderful. We will start exercising your legs more frequently now.' D. I'm sorry but the movement is only a reflex and does not indicate normal function.'

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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