17. A nurse is caring for a client with a left hemisphere stroke. The appropriate nursing actions for this client are:
Select all that apply.
17. A nurse is caring for a client with a left hemisphere stroke. The appropriate nursing actions for this client are:
Select all that apply.
. Place food and the television on the left side of the bedside table.
. Assist the client out of bed on the right side.
. Raise the left side rail and place the television on the right side.
. Talk into the client's right ear and place food on the right side.
. Teach the client to pivot on the left leg in and out of bed.
Test-Taking Tip
Select the option that is different from others. Note that three options relate to the right. Only two options relate to the left side.
Content Area: Adult Health, Cardiovascular; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
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Answer 1 is correct because loss of half of the visual field (hemianopsia) will be on the same side as the paralyzed side. The left visual field will be intact. Answer 2 is incorrect because the right side will be weak or paralyzed. The left side will be stronger. Answer 3 is incorrect because the client likely has right visual field blindness. Answer 4 is incorrect because there is no expectation of deafness. Food should be placed on the left side. Answer 5 is correct because the right side will be weakened or paralyzed. The client should be taught to put weight on the stronger left side when transferring from bed to chair and back.