A nurse is caring for a client who has hemiparesis following a right-sided stroke. Which of the following actions should the nurse take?

Place objects within reach on the client's right side.

Encourage the client to repeat phonetic sounds.

Pause to allow the client time to respond to questions.

Frequently orient the client to time, place, and surroundings.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Placing objects within the client's reach on the right side helps to compensate for the hemiparesis and facilitates the client's ability to independently access items.

Choice B rationale:

Encouraging the client to repeat phonetic sounds might be more appropriate for speech therapy and may not directly address hemiparesis.

Choice C rationale:

Pausing to allow the client time to respond to questions is a communication technique but does not address the physical effects of hemiparesis.

Choice D rationale:

Frequently orienting the client to time, place, and surroundings is important for cognitive support but does not specifically address hemiparesis.

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Correct Answer is C

Explanation

Choice A rationale:

Urine in acute glomerulonephritis often appears tea-colored or smoky due to hematuria.

Choice B rationale:

Hypertension is common in acute glomerulonephritis.

Choice C rationale:

Fluid retention and subsequent weight gain are common due to decreased kidney function.

Choice D rationale:

Hyponatremia is not typically associated with acute glomerulonephritis.

A. Refer the client to crisis intervention services. B. Determine the client's previous methods of coping with crisis. C. Discuss with the client the cause of the crisis. D. Assist the client to develop strategies to overcome the crisis.

Correct Answer is B

Explanation

Choice A rationale:

Referring the client to crisis intervention services might be necessary, but before doing so, the nurse should gather information to understand the client's current situation and coping mechanisms.

Choice B rationale:

Assessing the client's previous coping methods helps the nurse understand the client's strengths and provides insights into potential strategies for managing the crisis effectively.

Choice C rationale:

Discussing the cause of the crisis might be helpful, but it's important to first assess the client's current coping abilities and resources.

Choice D rationale:

Assisting the client in developing strategies to overcome the crisis is important, but it should come after a thorough assessment of the client's current coping mechanisms and situation.

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A nurse is caring for a client who has hemiparesis following a right-sided stroke. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing a crisis. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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