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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A 7-month-old infant with Down syndrome is less likely to use a spoon.
Choice B rationale:
Crawling short distances is a developmental milestone that can be expected at this age.
Choice C rationale:
Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.
Choice D rationale:
Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.
Correct Answer is C
Explanation
Choice A rationale:
Decreased muscle mass can be a normal age-related change in older adults and is not necessarily indicative of elder maltreatment.
Choice B rationale:
White circles surrounding the cornea (arcus senilis) is a common age- related finding and is not necessarily indicative of elder maltreatment.
Choice C rationale:
The presence of urine odor on the client's clothes could indicate neglect or inadequate care and should be further investigated.
Choice D rationale:
Nodules on the metacarpal joints may be related to osteoarthritis, which is a common condition in older adults and may not necessarily indicate elder maltreatment.
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