The patient has had a stroke that has affected the ability to ...

[cdr_15]

The patient has had a stroke that has affected the ability to speak. The patient becomes extremely frustrated when trying to speak. The patient responds correctly to questions and instructions but cannot form words coherently.
 
  Which type of aphasia is the patient experiencing?
  a. Sensory
  b. Receptive
  c. Expressive
  d. Combination

Question 2

The nurse completed assessments on several patients. Which assessment finding will the nurse record as normal?
 
  a. Pulse strength 3
  b. 1+ pitting edema
  c. Constricting pupils when directly illuminated
  d. Hyperactive bowel sounds in all four quadrants

[brittrenee]

Answer to Question 1

ANS: C
The two types of aphasias are sensory (or receptive) and motor (or expressive). The patient cannot form words coherently, indicating expressive or motor aphasia is present. The patient responds correctly to questions and instructions, indicating receptive or sensory aphasia is not present. Patients sometimes suffer a combination of receptive and expressive aphasia, but this is not the case here.

Answer to Question 2

ANS: C
A normal finding is pupils constricting when directly illuminated with a penlight. A pulse strength of 3 indicates a full or increased pulse; 2 is normal. 1+ pitting edema is abnormal; there should be no edema for a normal finding. Hyperactive bowel sounds are abnormal and indicate increased GI motility; normal bowel sounds are active.