A client is diagnosed with a right-sided stroke. The client is now experiencing hemianopsia. How can the nurse help the client manage potential sensory and perceptual difficulties?

Place the client’s clock on the affected side

Place the client’s extremities where the client can see them

Approach the client on the side where vision is impaired

Keep the lighting in the client’s room low

Answer and Explanation

The Correct Answer is B

Reasoning:

Choice A reason: Placing the clock on the affected side (left in right-sided stroke) worsens hemianopsia issues, as the client cannot see the left visual field. This increases neglect and disorientation. Positioning items in the intact visual field helps the client compensate for the visual deficit effectively.

Choice B reason: Placing extremities in the client’s intact visual field (right side in right-sided stroke) compensates for left hemianopsia. This helps the client maintain awareness of their body, reducing neglect and injury risk, as they cannot see the left side, improving safety and sensory integration.

Choice C reason: Approaching from the impaired side (left in right-sided stroke) increases disorientation and neglect in hemianopsia. Approaching from the intact right side ensures the client can see and respond, improving communication and reducing startle or confusion caused by unseen approaches.

Choice D reason: Keeping lighting low may reduce glare but does not address hemianopsia’s visual field loss. Adequate lighting in the intact field enhances visibility of objects and extremities, aiding compensation for the deficit. Low lighting could increase disorientation in clients with visual impairments.

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Correct Answer is B

Explanation

Reasoning:

Choice A reason: Difficulty falling asleep is not a specific symptom of iron deficiency anemia. While fatigue is common, it affects energy levels, not sleep onset. Insomnia may result from other causes like anxiety or neurological conditions, not the reduced oxygen-carrying capacity of iron deficiency anemia.

Choice B reason: Difficulty breathing when walking 30 feet, or exertional dyspnea, is a hallmark of iron deficiency anemia. Low hemoglobin reduces oxygen delivery to tissues, causing shortness of breath during activity as the body struggles to meet oxygen demands, making this a key subjective symptom.

Choice C reason: Increased appetite is not typical in iron deficiency anemia. Some patients experience pica, craving non-food items, but not increased food appetite. Anemia causes fatigue and weakness, not hunger, which is more associated with metabolic or endocrine disorders, not iron deficiency.

Choice D reason: Feeling hot all the time is not a symptom of iron deficiency anemia. Patients often feel cold due to reduced oxygen delivery impairing thermoregulation. Feeling hot suggests hyperthyroidism or infection, not the hypoxic or circulatory issues characteristic of iron deficiency anemia.

A. Diabetes insipidus (DI) B. Hypothyroidism C. Hyperthyroidism D. Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Correct Answer is D

Explanation

Reasoning:

Choice A reason: Diabetes insipidus causes hypernatremia due to excessive water loss from ADH deficiency, leading to polyuria and dehydration. This increases serum sodium concentration, not dilutional hyponatremia, which is characterized by low sodium due to water retention, making DI incorrect for this condition.

Choice B reason: Hypothyroidism affects metabolism through low thyroid hormone levels, causing symptoms like fatigue and weight gain. It does not directly cause dilutional hyponatremia, as it does not involve ADH or water retention. Sodium imbalances in hypothyroidism are rare and not dilutional in nature.

Choice C reason: Hyperthyroidism increases metabolism but does not typically cause dilutional hyponatremia. It may lead to dehydration from increased metabolic demand, but this does not involve excessive water retention or ADH dysfunction, which are necessary for dilutional hyponatremia to occur.

Choice D reason: SIADH causes dilutional hyponatremia due to excessive ADH, leading to water retention in the kidneys. This dilutes serum sodium, lowering its concentration. The increased fluid volume without corresponding sodium retention is the hallmark of SIADH, making it the correct endocrine disorder.

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A client is diagnosed with a right-sided stroke. The client is now experiencing hemianopsia. How can the nurse help the client manage potential sensory and perceptual difficulties?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is collecting data for a client who has been diagnosed with iron-deficiency anemia. What subjective findings does the nurse recognize as symptoms related to this type of anemia?

Correct Answer is B

Explanation

Which endocrine disorder causes the client to have dilutional hyponatremia?

Correct Answer is D

Explanation

A nurse is caring for a client with Cushing’s syndrome. Which interventions would the nurse include in the client’s plan of care? (Select all that apply)

A client diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy (CEA). The nurse explains that this procedure will be done for what purpose?

The nurse is caring for an older adult client who has been admitted to the unit with anemia. What would the nurse expect the client to possibly exhibit?

A nurse is assessing a client with Cushing's syndrome. Which observation should the nurse report to the health care provider immediately?

A client who is in the third trimester of pregnancy has been experiencing an exacerbation of iron-deficiency anemia in recent weeks. When providing the client with nutritional guidelines and meal suggestions, what foods would be most likely to increase the client’s iron stores?

A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

Which of the following medications is used in the treatment of diabetes insipidus to control fluid balance?

A client has been placed on corticosteroid therapy for Addison's disease. The nurse should be aware of which of the following side effects associated with this type of therapy? (Select all that apply)