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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. The client has a paralytic ileus is correct. Morphine can cause decreased gastrointestinal motility, which can exacerbate a paralytic ileus.

B. The client is experiencing a myocardial infarction is incorrect. Morphine is commonly used to manage pain and reduce myocardial oxygen demand during a myocardial infarction.

C. The client who has bronchitis pleurisy is incorrect. Morphine can be used for pain control in pleurisy, but it is not contraindicated.

D. The client who is 24 hr postoperative following hip arthroplasty is incorrect. Morphine is used for postoperative pain management.

A. Place a pillow under the client's head. B. Place the client into a supine position. C. Apply restraints. D. Insert a bite stick into the client's mouth. E. Loosen restrictive clothing.

Correct Answer is ["A","E"]

Explanation

A. Place a pillow under the client's head.
Rationale: This action helps to prevent head injury during a seizure by cushioning the head.
B. Place the client into a supine position.
Rationale: This is incorrect because it can increase the risk of aspiration. The client should be placed in a side-lying position to allow the mouth to drain and prevent aspiration.
C. Apply restraints.
Rationale: This is incorrect as restraints can cause injury to the client during a seizure. The nurse should instead ensure the environment is safe and free from objects that could harm the client.
D. Insert a bite stick into the client's mouth.
Rationale: This is incorrect because inserting any object into the mouth during a seizure can cause dental injury or aspiration. The jaw should not be forced open.
E. Loosen restrictive clothing.
Rationale: This action helps to prevent injury and allows for easier breathing during a seizure. It also prevents any constriction that could occur due to muscle contractions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?

Correct Answer is A

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Correct Answer is ["A","E"]

Explanation

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