What action should the nurse planning care of a patient who suffered a stroke in the right hemisphere of his brain perform?
A) Anticipate the patient will exhibit some degree of expressive or receptive aphasia.
B) When transferring the patient into a wheelchair, place the wheelchair on his left side.
C) Provide close supervision due to the patient's impulsiveness and poor judgment.
D) Support the right arm with a sling or pillow to prevent subluxation.
Ans: C
Feedback: The primary symptoms of a patient who experiences a right-sided stroke are left-sided weakness, impulsiveness, and poor judgment. Aphasia is more commonly present when the dominant or left hemisphere is damaged. When a patient has one-sided weakness, place the wheelchair on the patient's unaffected side. Because a right-sided stroke causes left-sided paralysis, the right side of the body should remain unaffected.
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