A client is experiencing left-sided homonymous hemianopia as the result of a brain attack. Which nursing intervention would the nurse implement to address this condition?
A) Turn Nancy every two hours and perform active range of motion exercises.
B) Place the objects Nancy needs for activities of daily living on the left side of the table.
C) Speak slowly and clearly to assist Nancy in forming sounds to words.
D) Request that the dietary department thicken all liquids on Nancy's meal and snack trays.
Answer: B) Place the objects Nancy needs for activities of daily living on the left side of the table.
Rationale: Homonymous hemianopsia is loss of the visual field on the same side as the paralyzed side. This results in the client neglecting that side of the body, so it is beneficial to place objects on that side. Nancy had a left-hemisphere brain attack so her right side is the weak side. Speaking slowly and clearly would address the client's verbal deficits due to aphasia. Requesting all liquids to be thickened would address dysphagia. Turning the client every 2 hours and performing active range of motion exercises would address the client's risk for immobility due to paralysis.
You might also like to view...
Hospitals are categorized by a number of different criteria, including ownership, the care that is provided, and the size of the hospital. Which of the following hospitals is funded by the federal government?
A) A county hospital B) A hospital affiliated with a university C) A Veterans Administration hospital D) A proprietary hospital
A patient who has been witness to a disaster involving a large number of fatalities appears upset but states that he feels capable of dealing with the emotions. The nurse's best intervention would be to:
A) Encourage the patient to watch the news updates B) Collect newspaper reports to review later C) Occupy the patient with other details to avoid thinking about the situation D) Encourage the patient to return to normal social roles when appropriate
Kelly, age 8 years, will soon be able to return to school after an injury that resulted in several severe, chronic disabilities. The most appropriate action by the school nurse is to
a. Recommend that Kelly's parents attend school at first to prevent teasing. b. Prepare Kelly's classmates and teachers for changes they can expect. c. Refer Kelly to a school where the children have chronic disabilities similar to hers. d. Discuss with Kelly and her parents the fact that her classmates will not accept her as they did before.
The nurse is caring for a client who is showing a sinusoidal fetal heart rate pattern on the monitor
The nurse knows that possible causes for this pattern include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fetal anemia 2. Chronic fetal bleeding 3. Maternal hypotension 4. Twin-to-twin transfusion 5. Umbilical cord occlusion