The nurse caring for a patient who suffered an ischemic stroke resulting in disturbed sensory perception is aware that:
A) The patient should be approached on the side where visual perception is intact.
B) Attention to the affected side should be minimized.
C) The patient should avoid repetitious turning of his head in the direction of the defective visual field in order to minimize shoulder subluxation.
D) The patient should be approached on the opposite side of where the visual perception is intact in order to increase perception and vision.
Ans: A
Chapter: 62
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Patient Needs: D-4
Feedback: Patients with decreased field of vision should first be approached on the side where visual perception is intact. All visual stimuli should be placed on this side. The patient can and should be taught to turn his head in the direction of the defective visual field to compensate for this loss. The nurse should constantly remind the patient of the other side of the body and should later stand at a position that encourages the patient to move or turn to visualize who and what is in the room.
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