A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for intervention?

Choice A reason: Encourage the use of wide grip utensils. This action is not related to homonymous hemianopsia, but to the motor weakness or paralysis that may occur on the opposite side of the body after a stroke. Wide grip utensils can help the client hold and use them more easily.

Choice B reason: Remind the client to look for food on the left side of the tray. This action is appropriate because homonymous hemianopsia is a visual field loss on the same side of both eyes. A client who had a right sided stroke will have difficulty seeing the left side of their visual field. Reminding the client to look for food on the left side of the tray will help them eat more completely and prevent malnutrition.

Choice C reason: Provide a nonskid mat to alleviate plate movement. This action is not related to homonymous hemianopsia, but to the safety and stability of the client's eating environment. A nonskid mat can prevent the plate from sliding or falling off the tray.

Choice D reason: Encourage the client to use his right hand when feeding himself. This action is not related to homonymous hemianopsia, but to the motor weakness or paralysis that may occur on the opposite side of the body after a stroke. Encouraging the client to use his right hand can help him maintain his independence and function.

Choice A reason: This statement indicates that the child understands the role of allergens in triggering asthma symptoms and the importance of avoiding or reducing exposure to them. Allergens such as dust mites, animal dander, mold, and pollen can cause inflammation and constriction of the airways, leading to wheezing, coughing, and shortness of breath. The nurse should teach the child how to identify and eliminate or minimize allergens in the home, school, and outdoor environments.
Choice B reason: This statement is true, but it does not indicate that the child has learned how to manage the condition to prevent asthma attacks. Missing school days is a consequence of poorly controlled asthma, not a cause or a trigger¹². The nurse should teach the child how to use a written asthma action plan, which includes daily medications, peak flow monitoring, and rescue medications, to achieve good asthma control and reduce the risk of exacerbations.
Choice C reason: This statement is false and indicates that the child has a misconception about the impact of asthma on physical activity. Physical activity is beneficial for children with asthma, as it can improve lung function, cardiovascular fitness, and quality of life. The nurse should teach the child how to prevent exercise-induced bronchoconstriction, which is a common trigger of asthma symptoms, by using a short-acting bronchodilator before exercise, warming up and cooling down, and avoiding exercise in cold or polluted air.
Choice D reason: This statement is false and indicates that the child does not recognize the signs of poor asthma control. Coughing and shortness of breath in the morning are common symptoms of nocturnal asthma, which is a sign of uncontrolled asthma and a risk factor for severe asthma attacks. The nurse should teach the child how to monitor and record asthma symptoms and peak flow readings, and how to adjust medications according to the asthma action plan.