A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Encourage the use of the wide grip utensils.
Remind the client to look for food on the left side of the tray.
Encourage the client to use his right hand when feeding himself.
Provide a nonskid mat to alleviate plate movement.
The Correct Answer is B
A. Wide grip utensils may help with grasp but do not address visual field deficits.
B. Homonymous hemianopsia involves loss of vision in one half of the visual field; reminding the client to look to the left side of the tray helps them find food in their impaired visual field.
C. Using the right hand is not specifically beneficial for visual field deficits and may not address the issue of homonymous hemianopsia.
D. A nonskid mat helps prevent plate movement but does not address the visual field deficit caused by homonymous hemianopsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Neurologic deficits increasing over 2 weeks are more characteristic of subdural hematomas, not epidural hematomas.
B. A change in the level of consciousness that develops over 48 hours is typical of subdural hematomas.
C. An epidural hematoma often presents with a brief period of lucidity followed by a rapid decline in consciousness due to arterial bleeding.
D. Cognitive perception that decreases over several months post-injury is not typical of epidural hematomas, which generally cause acute and rapid changes.
Correct Answer is A
Explanation
A. A synthetic cast is lighter in weight compared to a plaster cast, making it more comfortable for the patient.
B. Both plaster and synthetic casts effectively immobilize bone fractures; the choice often depends on the specific clinical situation and patient preference.
C. Drying time is actually shorter with a synthetic cast compared to a plaster cast, which can take up to 24-72 hours to fully dry.
D. A plaster cast does not require expensive equipment for application; the materials and application process are generally less costly compared to synthetic casts.
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