A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Encourage the use of the wide grip utensils.
Remind the client to look for food on the left side of the tray.
Encourage the client to use his right hand when feeding himself.
Provide a nonskid mat to alleviate plate movement.
The Correct Answer is B
A. Wide grip utensils may help with grasp but do not address visual field deficits.
B. Homonymous hemianopsia involves loss of vision in one half of the visual field; reminding the client to look to the left side of the tray helps them find food in their impaired visual field.
C. Using the right hand is not specifically beneficial for visual field deficits and may not address the issue of homonymous hemianopsia.
D. A nonskid mat helps prevent plate movement but does not address the visual field deficit caused by homonymous hemianopsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Aging increases the risk for osteoporosis due to natural bone density loss over time.
B. Secondhand smoke contributes to bone loss and increases the risk for osteoporosis.
C. Obesity is not a known risk factor for osteoporosis; in fact, being overweight may have a protective effect on bone density.
D. Caffeine intake is associated with increased calcium loss, which can contribute to osteoporosis.
Correct Answer is ["100"]
Explanation
- First, calculate the total volume to be infused over the desired time frame: 50 mL over 30 minutes.
- To find the rate in mL/hr, multiply the volume by 2 (since 30 minutes is half an hour), resulting in 100 mL/hr.
- Therefore, the nurse should set the IV pump to deliver 100 mL/hr to administer clindamycin 300 mg over 30 minutes.
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