A client with homonymous hemianopsia resulting from a stroke has a disturbed sensory perception.
An appropriate nursing intervention to help the client learn to compensate for this deficit during the rehabilitation period would be to:
Approach the client from the unaffected side.
Apply an eye patch to the affected eye.
Teach exercises involving the eye muscles with full range of motion twice per day.
Teach the client scanning techniques.
The Correct Answer is D
Choice A rationale
Approaching the client from the unaffected side does not stimulate compensation or adaptation. It limits the opportunity for neural adjustment and rehabilitation to optimize functional use of the affected side.
Choice B rationale
Eye patches may address double vision but are ineffective in enhancing sensory perception compensation for hemianopsia. Rehabilitation focuses on improving spatial awareness, not restricting visual fields.
Choice C rationale
Muscle exercises aid ocular health but do not scientifically compensate for hemianopsia. Scanning techniques provide more effective sensory perception rehabilitation in spatial deficits caused by this condition.
Choice D rationale
Scanning techniques teach clients to move their head or eyes consciously to view their entire surroundings. This method compensates for sensory deficits, helping clients adapt effectively during rehabilitation. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["56"]
Explanation
Step 1 is (250 mL ÷ 90 min) × 20 gtt/mL.
Step 2 is (2.777 mL/min × 20 gtt/mL).
Step 3 is 55.55 gtts/min. The final calculated answer is 56 gtts/min.
Correct Answer is A
Explanation
Choice A rationale
Hemiparesis on the right side and ataxia are common manifestations of left-sided stroke, where the motor cortex affecting the contralateral side is impaired, leading to muscle weakness and coordination loss.
Choice B rationale
Spasticity of the left arm suggests motor impairment on the ipsilateral side, which is inconsistent with the nature of left-sided strokes affecting the contralateral side. Apraxia lacks relation to motor loss here.
Choice C rationale
Impulsive behavior and hostility are more indicative of frontal lobe involvement, not motor loss secondary to left-sided strokes. These behaviors do not represent motor manifestations.
Choice D rationale
Visual defects like homonymous hemianopia and diplopia may occur in stroke but are not direct indicators of motor loss. They relate to occipital lobe or optic pathway damage.
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