Question

A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to be suggestive of which of the following findings?

a) Left-sided cerebrovascular accident (CVA)
b) Right-sided cerebrovascular accident (CVA)
c) Transient ischemic attack (TIA)
d) Completed Stroke

Answer 1

The symptoms and MRI findings suggest a left-sided cerebrovascular accident consistent with a completed stroke, not a transient ischemic attack.

Step-by-step explanation:

The symptoms of weakness, expressive aphasia, and right hemianopia coupled with the finding of an infarct on brain MRI are suggestive of a left-sided cerebrovascular accident (CVA). The left side of the brain is responsible for language and the right field of vision, and damage to this area can cause the symptoms described. Additionally, an infarct in the brain indicates that the stroke is a completed stroke. A transient ischemic attack (TIA) would not be consistent with these findings as the effects of a TIA typically resolve within 24 hours, whereas a completed stroke has more lasting effects.