A patient who suffered an ischemic stroke now has disturbed sensory perception. What should the nurse caring for this patient be aware of?
A) The patient should be approached on the side where visual perception is intact.
B) Attention to the affected side should be minimized.
C) The patient should avoid repetitious turning of his head in the direction of the defective visual field in order to minimize shoulder subluxation.
D) The patient should be approached on the opposite side of where the visual perception is intact in order to increase perception and vision.
Ans: A
Feedback: Patients with decreased field of vision should first be approached on the side where visual perception is intact. All visual stimuli should be placed on this side. The patient can and should be taught to turn the head in the direction of the defective visual field to compensate for this loss. The nurse should constantly remind the patient of the other side of the body and should later stand at a position that encourages the patient to move or turn to visualize who and what is in the room.
You might also like to view...
The three-year-old child with cystic fibrosis has just been discharged from the hospital following a two-week stay due to a respiratory infection. The child has a post-discharge office visit the next day
During the office visit, the mother mentions that the child was toilet trained before hospitalization but now is having accidents. Which response by the nurse would be most appropriate? 1. "This is probably a reaction to the antibiotics and will disappear when the antibiotics are finished." 2. "Urinary incontinence is a common symptom of progression of cystic fibrosis. Be sure to notify the physician of this change." 3. "The child may have a urinary tract infection and needs to be evaluated." 4. "Children often regress after hospitalization. Be patient and remind him to go to the bathroom frequently."
All the following are potential benefits from participating in a study, except:
A) Monetary gains B) Access to a new and potentially beneficial treatment C) Opportunity to discuss personal feelings and experiences with an objective listener D) Opportunity to collaborate on a study
The nurse knows that which setting would be most effective in assisting teenagers to eat a more nutritious diet?
A. In a small group of their peers B. At the hospital cafeteria C. At a table with parents D. Served to each teenager privately
Six hours after initiation of the calcium gluconate infusion, C.P. is no longer complaining of numbness
around her mouth or tingling in her fingertips and toes. Chvostek and Trousseau signs remain negative. Has C.P. 's status improved or not? Defend your response.