In the rehabilitation phase of a CVA, patients with homonymous hemianopsia need to have their environment arranged so that persons approaching and important items are available on:
1. the unaffected side.
2. the affected side.
3. the direct front.
4. either side.
2
Making the patient scan the affected side helps stimulate the return of normal function in the rehabilitation phase.
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The nurse is monitoring a pregnant woman who is at high risk for the development of disseminated intravascular coagulation (DIC). What physical assessment findings would indicate of DIC?
A) Urine clear without sediment at 40 mL/hr B) Oozing blood from all intravenous sites C) All vital signs within expected parameters for pregnancy D) Absence of elevated protein in urine or serum
Documentation in a client's chart includes the following information: "Throughout a 5-minute interaction the client fidgeted and tapped his left foot, periodically covered his face with his hands, looked under his chair, all while stating he was enjoying spending time with this nurse.". Of the following assessments, which is most accurate?
a. The client is giving positive feedback about the nurse's communication techniques. b. The nurse is viewing the client's behavior through a cultural filter. c. The client's verbal and nonverbal messages are incongruent. d. The client is demonstrating psychotic behaviors.
During an intake physical examination, a patient reports that he has been taking 10 aspirin tablets a day for his arthritis. What question should the nurse ask based on this information?
a. "Can you hear high-pitched sounds?" b. "Have you noticed deafness in just one ear?" c. "Do you have ringing in your ears?" d. "Do you experience dizziness when you stand?"
The nurse is teaching a group of caregivers about reverse attention. Which of the following statements by a caregiver 2 weeks later would indicate that this caregiver was following the instructions of the nurse?
a. "My child was coloring quietly, and I gave him a compliment on his good behavior." b. "Our child was coloring the walls with crayons, and I put him in time-out." c. "When our daughter took crayons away from a playmate, I put all the crayons up until she could agree to share." d. "I had my child gift wrap the crayons and give them to a playmate."