Which of the following clients' signs and symptoms would allow a ...

[genevieve1028]

Which of the following clients' signs and symptoms would allow a clinician to be most justified in ruling out stroke as a cause? An adult
 
  A)
  has had a gradual onset of weakness, headache, and visual disturbances over the last 2 days.
  B)
  has experienced a sudden loss of balance and slurred speech.
  C)
  has vomited and complained of a severe headache.
  D)
  states that his left arm and leg are numb, and gait is consequently unsteady.

Question 2

A 70-year-old male has been diagnosed with a stroke that resulted in an infarct to his cerebellum. Which of the following clinical findings would be most closely associated with cerebellar insult?
 
  A)
  Flaccid loss of muscle tone
  B)
  Difficulty in starting movement, stopping movement, and maintaining rhythmic movements.
  C)
  Tremor, rigidity, and bradykinesia
  D)
  Unsteady gait and difficulty in speaking and swallowing

[dajones82]

Answer to Question 1

Ans:
A

Feedback:

A cardinal trait of the manifestations of stroke is that the onset is sudden, and a gradual onset of symptoms over 2 days would suggest an alternative etiology. Ataxia, slurred speech, and unilateral numbness are associated with stroke, with sudden vomiting and headache being particularly indicative of a hemorrhagic CVA.

Answer to Question 2

Ans:
D

Feedback:

An unsteady gait characterizes cerebellar ataxia, and both swallowing and speaking are partly the domain of the cerebellum. Flaccid loss of muscle tone is not noted to accompany cerebellar insult, and difficulties with starting movement, stopping movement, and maintaining rhythmic movements are indicative of basal ganglia disorders. Tremor, rigidity, and bradykinesia are associated with Parkinson disease.