Final answer:
A right hemispheric stroke typically presents with a left visual field deficit, issues with spatial and perceptual abilities, and various nonverbal communication difficulties. Left-sided weakness or paralysis can also occur, as well as altered perception and disorientation.
Step-by-step explanation:
Clinical Manifestations of a Right Hemispheric Stroke
When a patient has had a right hemispheric stroke, the nurse can recognize several clinical manifestations. The right hemisphere of the brain is primarily responsible for visuo-spatial functions and nonverbal communication. Therefore, patients with a right hemispheric stroke might present with symptoms such as a left visual field deficit, issues with spatial and perceptual abilities, and difficulties in judgment or impulse control. As the right hemisphere controls the left side of the body, one can expect left-sided weakness or paralysis. Unlike left hemispheric strokes which may result in aphasia, right hemispheric strokes do not typically cause language deficits in terms of speech production or comprehension. However, they might affect the ability to understand nonliteral language, such as metaphors or sarcasm.
Some other possible clinical manifestations might include:
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- Altered perception of deficits (Anosognosia)
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- Impaired sense of humor
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- Disorientation to time and place
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- Left-sided neglect (ignoring or unaware of the left side)
It's important to note that every patient is unique, and the exact manifestations can vary based on the specific areas of the right hemisphere affected by the stroke.