A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention for this client?
Place the wheelchair on the client's left side.
Orient the client to the food on the plate using the clock method.
Teach the client to turn scan to the right to see objects on the right side of the body.
Place the bedside table on the right side of the bed.
The Correct Answer is C
Choice A reason:
Placing the wheelchair on the client's left side is not helpful for someone with left homonymous hemianopsia, as the client will have difficulty seeing the left side. This intervention does not address the visual deficit properly.
Choice B reason:
Orienting the client to the food on the plate using the clock method is beneficial for clients with visual impairments, but it is not specific to addressing left homonymous hemianopsia. It does not help the client scan their environment effectively.
Choice C reason:
Teaching the client to turn their head to scan to the right helps compensate for the left-sided visual field loss. This strategy allows the client to detect objects in their blind spot and improves their ability to navigate their environment safely.
Choice D reason:
Placing the bedside table on the right side of the bed ensures it is within the client’s field of vision and easily accessible, which is a supportive measure. However, teaching scanning techniques is more critical in helping the client adjust to their visual deficit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Step 1: Determine the amount of medication prescribed.
The client is prescribed 250 mg of phenytoin.
Step 2: Identify the concentration of the solution available.
The concentration is 25 mg per 5 mL.
Step 3: Calculate how many milligrams are in 1 mL of the solution.
25 ÷ 5 = 5 mg per 1 mL.
Step 4: Determine how many mL are needed to administer 250 mg.
250 ÷ 5 = 50 mL.
Correct Answer is C
Explanation
Choice A reason:
Fat embolism syndrome is a serious complication of fractures, particularly long bone fractures, and presents with symptoms such as respiratory distress, cerebral dysfunction, and petechial rash. However, it is not characterized by localized increasing edema and pain.
Choice B reason:
Malignant hyperthermia is a severe reaction to certain anesthetic agents and is characterized by hyperthermia, muscle rigidity, and metabolic acidosis. It is not related to increasing edema and pain in the context of a crush injury.
Choice C reason:
Acute compartment syndrome is characterized by increasing pain that is not relieved by analgesics and increasing edema due to increased pressure within the muscle compartments. This condition requires immediate medical intervention to prevent permanent damage.
Choice D reason:
A myocardial embolus would present with symptoms related to cardiac function, such as chest pain and shortness of breath. It is not related to localized increasing edema and pain in the lower extremities following a crush injury.
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