The nurse in a rehabilitation center is caring for a patient who has new-onset stroke with right-side hemiparesis. Which intervention should the nurse implement when caring for this pa-tient?
a. Orders a two-person assist with a transfer.
b. May need to incorporate repetition.
c. Gives the patient a dry erase board.
d. Raises all four side rails.
C
Right-side hemiparesis involves a left-side brain injury. The left side of the brain controls speak-ing and language. By giving the patient a dry erase board, he or she can communicate easier in-itially after the stroke. People who have this type of hemiparesis experience difficulty talking.
With only one side affected; the nurse should be able to transfer the patient alone. Pa-tients with left-side hemiparesis have with short term memory, often repetition must be incorpo-rated into patient care. The raising of all four side rails up would be considered a restraint.
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