A male client is admitted to the stroke rehabilitation unit and is demonstrating right homonymous hemianopsia. The practical nurse (PN) observes that the client only eats the foods on the left side of the plate and tray. Which is the best action for the PN to use with this client to compensate for the visual field deficit?

Place the food and utensils in the client's left visual field and leave him alone.

Feed the client foods that are on the right side of his visual field.

Remind the client to look all over the tray to view and eat all the foods provided.

Prompt the client to rotate his plate to see foods on the right side of the tray.

Answer and Explanation

The Correct Answer is C

Choice A reason: Placing the food and utensils in the client's left visual field and leaving him alone does not address the underlying issue of the visual field deficit. While it may temporarily solve the problem of the client eating only the food on the left side, it does not encourage the client to adapt to or compensate for the right homonymous hemianopsia. The goal of rehabilitation is to help the client develop strategies to manage their condition independently, and this approach does not foster such skills.
Choice B reason: Feeding the client foods that are on the right side of his visual field is not the most effective approach, as it does not promote the client's independence or help them adapt to their visual field deficit. While it ensures the client consumes the food on the right side, it does not teach the client to compensate for their hemianopsia, which is an essential aspect of their rehabilitation.
Choice C reason: Reminding the client to look all over the tray to view and eat all the foods provided is the best approach. This action helps the client become more aware of their visual field deficit and encourages them to develop the habit of scanning their environment. Teaching the client to consistently look around their entire visual field promotes independence and helps them adapt to daily activities despite their condition. This strategy supports the goal of rehabilitation, which is to enhance the client's ability to manage their visual impairment independently.
Choice D reason: Prompting the client to rotate his plate to see foods on the right side of the tray is a practical solution, but it does not address the broader need for the client to learn to scan their environment. While rotating the plate may temporarily help the client access the food on the right side, it does not encourage the development of compensatory strategies for the visual field deficit. Encouraging the client to look all over the tray is a more effective approach for long-term adaptation and independence.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Smoking two packs of cigarettes a day is highly significant in planning the client's rehabilitation following a myocardial infarction. Smoking is a major risk factor for cardiovascular disease, and continuing to smoke can significantly hinder recovery and increase the risk of future cardiac events. Addressing this behavior is crucial for improving the client's long-term health outcomes. Smoking cessation should be a primary focus of the rehabilitation plan, and the client should be provided with resources and support to quit smoking, such as counseling, nicotine replacement therapy, or medications.
Choice B reason: Expressing a desire to change one's lifestyle is a positive and encouraging sign. It indicates the client's motivation to adopt healthier habits, which is essential for successful rehabilitation. However, while this is important, the immediate focus should be on addressing specific risk factors, such as smoking, that have a direct and significant impact on the client's recovery and future health. The desire to change is a valuable component of the rehabilitation process, but it should be coupled with targeted interventions to address critical behaviors like smoking.
Choice C reason: Drinking 1 to 2 glasses of red wine daily may have both positive and negative health implications. Moderate alcohol consumption has been suggested to have some cardiovascular benefits, but it can also pose risks, especially if not monitored. While this information is relevant to the client's overall lifestyle, it is not as immediately critical as addressing smoking, which has a well-documented and direct impact on cardiovascular health. The client's alcohol consumption can be discussed as part of the broader lifestyle changes during rehabilitation.
Choice D reason: Walking four city blocks to work each day indicates a level of physical activity that is beneficial for cardiovascular health. Encouraging regular physical activity is an essential part of the rehabilitation process. However, compared to the impact of smoking, this information is less critical in the immediate planning of the client's rehabilitation. The focus should be on eliminating harmful behaviors like smoking, while also promoting continued and possibly increased physical activity as part of a comprehensive rehabilitation plan.

A. Apply direct pressure over the area that is bleeding. B. Wipe off the drop of blood with a gauze pad. C. Clean the finger with an alcohol prep pad. D. Apply the drop of blood to the test strip.

Correct Answer is D

Explanation

Choice A reason: Applying direct pressure over the area that is bleeding is a general first aid measure to stop bleeding. However, in the context of obtaining a fingerstick blood sugar, this action is not the immediate next step. The objective of the fingerstick is to obtain a sample of blood for testing blood glucose levels. Applying pressure would stop the flow of blood, making it difficult to obtain a sufficient sample for the test.
Choice B reason: Wiping off the drop of blood with a gauze pad is not recommended after pricking the finger for a blood glucose test. Removing the initial drop of blood could result in the need to squeeze the finger again, potentially causing hemolysis (breaking of blood cells) and leading to an inaccurate reading. It is important to use the initial drop of blood for the test to ensure accurate results.
Choice C reason: Cleaning the finger with an alcohol prep pad before pricking is a standard step to ensure that the area is free from contaminants and to prevent infection. However, doing this after the drop of blood is visible is unnecessary and can interfere with the sample. Alcohol residue can affect the accuracy of the blood glucose reading. Therefore, cleaning should be done prior to pricking, not after the blood is obtained.
Choice D reason: Applying the drop of blood to the test strip is the correct action to take. Once the drop of blood is visible, it should be applied to the test strip immediately to obtain a blood glucose reading. This ensures that the sample is fresh and uncontaminated, providing an accurate measurement of the client's blood sugar levels. This step is essential for effective monitoring and management of diabetes.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being transferred from the cardiovascular intensive care unit (CV-ICU) three days after a myocardial infarction. Which information is most significant in planning this client's rehabilitation?

Correct Answer is A

Explanation

When obtaining a fingerstick blood sugar, the practical nurse (PN) uses the lancet to prick the client's finger. After observing that a drop of blood is visible on the finger, which action should the PN take?

Correct Answer is D

Explanation

The practical nurse (PN) is monitoring a client who was admitted following a motor vehicle collision (MVC). The PN is unable to auscultate breath sounds on the left side, and the healthcare provider is notified. While awaiting the arrival of the healthcare provider, which action should the PN take?

A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?

The practical nurse (PN) is assisting a client who is performing peritoneal dialysis catheter self-care before being discharged home. Which behavior indicates that the client needs additional teaching?

The practical nurse (PN) is preparing a client for a mammogram. Which instruction should the PN provide the client?

The practical nurse (PN) is evaluating a client who is admitted to the hospital with a diagnosis of cholelithiasis. Which finding should the practical nurse (PN) report to the charge nurse?

A client with diabetes is admitted with a 1 cm size ulcer on the left great toe. The practical nurse (PN) observes that the left foot has a dusky color. While planning the client's care, which intervention should the PN implement first?

A client with breast cancer who received chemotherapy two weeks ago returns to the clinic for follow-up. Which priority follow-up assessment should the practical nurse (PN) anticipate for this client?