A nurse is teaching a 12yearold child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?

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: Using log rolling to reposition the client is not advisable for a client who has increased ICP. Log rolling is a technique that involves moving the client as a unit, without flexing the spine, to prevent spinal cord injury. However, log rolling can also increase ICP by reducing venous drainage from the head and increasing cerebral blood volume. Therefore, the nurse should avoid log rolling the client unless there is a suspected spinal injury.

Choice B reason: Instructing the client to cough and breathe deep is not appropriate for a client who has increased ICP. Coughing and deep breathing can increase intrathoracic pressure, which can reduce venous return to the heart and increase ICP. Additionally, coughing and deep breathing can cause hyperventilation, which can lower the partial pressure of carbon dioxide in the blood and cause cerebral vasoconstriction. This can reduce cerebral perfusion and oxygen delivery to the brain.

Choice C reason: Placing a warming blanket on the client is not recommended for a client who has increased ICP. A warming blanket can increase the body temperature, which can increase the metabolic rate and oxygen demand of the brain. This can worsen cerebral ischemia and edema. Moreover, a warming blanket can cause vasodilation, which can increase cerebral blood volume and ICP. Therefore, the nurse should maintain a normal body temperature for the client and avoid hyperthermia.

Choice D reason: Placing the client in a supine position is the best action for the nurse to take for a client who has increased ICP. The supine position is a way of lying on a table with the back, face, and abdomen facing upwards. It is used for various surgeries and examinations, such as cranial, cardiac, abdominal, and thoracic surgery. It can also prevent respiratory, skin, and circulatory problems. The supine position can help lower ICP by facilitating venous drainage from the head and reducing cerebral blood volume [^10^]. However, the nurse should also elevate the head of the bed to 30 degrees to optimize cerebral perfusion pressure and avoid neck flexion or rotation, which can impair venous drainage.