A nurse receives a report on a client who had a left-sided stroke and has homonymous hemianopsia. What action by the nurse is most appropriate for this client?

a. Assess for bladder retention and/or incontinence.
b. Listen to the client's lungs after eating or drinking.
c. Prop the client's right side up when sitting in a chair.
d. Rotate the client's meal tray when the client stops eating.


ANS: D
This condition is blindness on the same side of both eyes. The client must turn his or her head to see the entire visual field. The client may not see all the food on the tray, so the nurse rotates it so uneaten food is now within the visual field. This condition is not related to bladder function, difficulty swallowing, or lack of trunk control.

Nursing

You might also like to view...

A 7-year-old child presents to the emergency department, where the parent reports a 3-week history of pale skin, extreme fatigue, and dizziness. Which laboratory value would the nurse correlate with the patient's current condition?

A. Hematocrit: 33% B. Hemoglobin: 13.2 g/dL C. Red blood cell count: 2.8/mm3 D. White blood cell count: 12.3/mm3

Nursing

An older man living in an adult community becomes a widower 1 month after retirement. Two months later, he has not resumed a weekly outing with his fishing club. Which should the nurse implement?

a. Ask the older adult why he is not fishing. b. Have club members visit him at home. c. Meet with him to assess his interests. d. Enroll him in a weekly card game.

Nursing

When assisting with an amniotomy, the nurse's first responsibility after the procedure is to check the:

a. Maternal pulse b. Maternal blood pressure c. Fetal heart rate d. Fetal kick count

Nursing

Nursing care of the patient who has just had cataract surgery includes

A) changing the dressings. B) minimizing strain. C) irrigating the eye. D) maintaining bed rest.

Nursing