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A nurse is caring for a client who recently had a stroke of the right hemisphere. Which of the following manifestations should the nurse expect?

a) Impaired language and speech abilities
b) Left-sided weakness or paralysis
c) Decreased attention span and difficulty judging distances
d) Difficulty with tasks that require logical or sequential thought

1 Answer

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Final answer:

Clients who have suffered a stroke in the right hemisphere may experience difficulty with movement on the left side of the body and have trouble with tasks that require logical or sequential thought. Behavioral changes can also occur, illustrating impaired judgment and inhibition. Timely treatment and rehabilitation are crucial for recovery.

Step-by-step explanation:

A client who has recently had a stroke in the right hemisphere is likely to exhibit several neurological and behavioral changes. Since the right hemisphere of the brain is responsible for controlling the left side of the body, one common symptom is difficulty moving limbs on the left side, such as the left leg. In addition to physical impairment, a stroke in the right hemisphere can affect spatial and perceptual abilities, potentially leading to challenges with tasks that require logical or sequential thought. Based on the description of Theona’s case, it seems the front portion of her right hemisphere was affected, hence the movement difficulties with her left leg. Behavioral changes, such as the lack of awareness or concern for socially inappropriate actions (i.e., eating grapes in the grocery store before paying), may indicate damage to the frontal lobe, which is associated with judgment and inhibition control.

The symptoms of a stroke can vary based on the specific location and extent of brain damage, but they often manifest quickly, and prompt treatment is crucial. The mnemonic FAST (Face drooping, Arm weakness, Speech difficulties, Time to call emergency services) can help people identify the signs of a stroke. Ongoing physical, occupational, and speech therapy post-stroke can significantly aid in recovery, improving functionality and quality of life.

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