A client diagnosed with a stroke is experiencing homonymous hemianopia. The most appropriate nursing intervention to help the client learn to compensate for this deficit during rehabilitation period would be to:
use a cold compress on both eyes.
teach the client scanning techniques.
apply an eye patch to the affected eye.
use eye drops in both eyes daily
The Correct Answer is B
A. Using a cold compress is typically employed for reducing swelling or discomfort, but it does not address the visual deficits associated with homonymous hemianopia. This intervention would not assist the client in compensating for their visual field loss.
B. Teaching scanning techniques involves training the client to actively search for visual information from their affected side. This can include turning their head and using their eyes to scan to the left (for right homonymous hemianopia) or to the right (for left homonymous hemianopia). This compensatory strategy is crucial for helping the client navigate their environment safely and effectively during rehabilitation.
C. Applying an eye patch is not appropriate for homonymous hemianopia, as it may further limit visual input. In fact, patching could exacerbate difficulties by reducing overall vision and is generally more relevant for conditions like amblyopia or for treating diplopia (double vision), rather than compensating for a visual field deficit.
D. Using eye drops is typically for treating dry eyes, redness, or other ocular conditions, and does not directly address the issues related to homonymous hemianopia. This intervention would not help the client learn to compensate for their visual field loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 1500 is 8 hours after 0700, which is too long for the remaining fluid to last.
B. 1200 is 5 hours after 0700, which means there would still be fluid left in the bag at this time.
C. 1100 is exactly 4 hours after 0700, which aligns with our calculation of when the remaining 500 mL will be finished.
D. 0200 is 19 hours after 0700, which is far too late for the IV fluid to last.
Correct Answer is ["14"]
Explanation
154 lbs ÷ 2.2 lbs/kg = 70 kg
20 units/kg * 70 kg = 1400 units
1400 units ÷ 25,000 units/250 mL = 14 mL
Therefore, the nurse will administer 14 mL of Heparin.
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