A nurse is planning care for a client who has left-sided hemiplegia following a stroke.
Which of the following actions should the nurse include in the plan of care?
Provide the client with a short-handled reacher.
Place a plate guard on the client's meal tray.
Remind the client to use a cane on his left side while ambulating.
Position the bedside table on the client's left side.
The Correct Answer is A
The nurse should provide the client with a short-handled teacher.
This can help the client to reach and grasp objects without having to overextend or strain their unaffected arm.
Choice B is also correct.
The nurse should place a plate guard on the client’s meal tray.
This can help prevent food from spilling off the plate and make it easier for the client to eat with one hand.
Choice C is wrong because reminding the client to use a cane on his left side while ambulating could be unsafe as the client’s left side is affected by hemiplegia.
Choice D is wrong because positioning the bedside table on the client’s left side could make it difficult for the client to reach items on the table.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Leuprolide can cause bone loss, which can lead to osteoporosis and an increased risk of bone fractures.
Choice A, Pallor, is not the correct answer because pallor (pale skin) is not a common side effect of leuprolide.
Choice B, Increased appetite, is not the correct answer because increased appetite is not a common side effect of leuprolide.
Choice D, Hypoglycemia, is not the correct answer because hypoglycemia (low blood sugar) is not a common side effect of leuprolide.
Correct Answer is D
Explanation
A pneumothorax is a collapsed lung that occurs when air leaks into the space between the lung and the chest wall.
This can cause diminished breath sounds on the affected side. Distended neck veins are not a symptom of pneumothorax.
B) Itching over the incision is not a symptom of pneumothorax.
C) Irregular heart rate is not a symptom of pneumothorax.
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