To promote safety, when a client complains of the effects of diplopia after a stroke, the nurse would
a. approach the client on the unaffected side.
b. place a patch over one eye.
c. reassure the client that the problem is temporary.
d. teach eye muscle exercises.
B
Diplopia (double vision) is a common visual disturbance after a stroke. Visual disturbances make the client more prone to injury. Patching one eye removes the second image and promotes better vision, which in turn helps keep the client safe. Alternating the patching helps maintain the function and strength of the extraocular muscles in both eyes.
You might also like to view...
After teaching a client who is recovering from a complete thyroidectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional instruction?
a. "I may need calcium replacement after surgery." b. "After surgery, I won't need to take thyroid medication." c. "I'll need to take thyroid hormones for the rest of my life." d. "I can receive pain medication if I feel that I need it."
A transgender client taking spironolactone (Aldactone) is in the internal medicine clinic reporting heart palpitations. What action by the nurse takes priority?
a. Draw blood to test serum potassium. b. Have the client lie down. c. Obtain a STAT electrocardiogram (ECG). d. Take a set of vital signs.
When communicating with clients, which of the following would be most important for the nurse to ensure?
A) Limit setting B) Feedback loop C) Goal direction D) Nonverbal expression
Which of the following statements made by the client indicates a need for more teaching of how to eradicate head lice?
a. "I will use hot water to wash all clothes that have been worn." b. "Nonwashable items will be dry cleaned or placed in plastic bags for two weeks." c. "I will vacuum all carpeting and chairs." d. "I will wash the clean clothes in my dresser and closet."