Katherine O'Grady, 89 years old, lived alone in her small, two-bedroom home until her cerebrovascular accident (CVA) 2 weeks ago. She had been very independent and required assistance only with transportation to shop, bank, and get to appointments
She has multiple bruises on her dependent arm from bumping it on walls, furniture, and her wheelchair. One of her diagnoses states "unilateral neglect." What is the cause of unilateral neglect?
a. Left hemisphere CVA
b. Brainstem involvement
c. Loss of visual fields related to the CVA
d. Total loss of movement or sensations
C
The visual field losses of homonymous and bitemporal hemianopsia can result in an older person being unaware of personal and environmental things that are out of his or her visual field. Responses A, B, and D are incorrect. Hemianopsia is not specific to any type or location of a CVA and is not caused by a total loss of movement or sensation.
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Crushing or dissolving sustained-release drugs
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A female patient is scheduled for a stereotactic needle biopsy of a left breast lesion. Instructions regarding this diagnostic test should include:
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