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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Instructing the client on the use of crutches is important but not as immediately critical as monitoring for complications.

B. Performing neurovascular checks of the extremities is the most important action to detect complications such as compartment syndrome or impaired circulation.

C. Medicating the client for pain is important but secondary to immediate assessment for complications.

D. Directing the client to perform exercises of the ankle and toes is important for recovery but not as urgent as monitoring for postoperative complications.

A. Instruct the client to avoid movement of the affected leg. B. Position the lower extremities so that they are touching. C. Prevent hip flexion of the affected extremity. D. Ensure that the client's heels are touching the bed.

Correct Answer is C

Explanation

A. Instruct the client to avoid movement of the affected leg is not practical for postoperative care; the goal is to manage movement safely, not completely avoid it.

B. Position the lower extremities so that they are touching is incorrect; the legs should be kept in abduction to prevent dislocation.

C. Prevent hip flexion of the affected extremity is essential to prevent dislocation of the hip joint. Keeping the hip in a neutral or slightly extended position helps achieve this.

D. Ensure that the client's heels are touching the bed is not a relevant intervention for preventing complications after a hip arthroplasty.

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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?

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