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 ["4"]
Explanation
Step 1: Determine the ratio of the medication strength available.
400 mg is provided in 5 mL.
Step 2: Find how many mg are in 1 mL by dividing 400 mg by 5 mL.
400 ÷ 5 = 80 mg per mL.
Step 3: Determine how many mL are needed for 320 mg.
Divide the prescribed dose (320 mg) by the strength of the medication per mL (80 mg).
320 ÷ 80 = 4 mL.
The nurse should administer 4 mL per dose.
Correct Answer is A
Explanation
Choice A reason:
Repositioning the client at least every 2 hours is a standard intervention to prevent further pressure ulcers and promote healing of existing ones. This practice helps alleviate pressure on vulnerable areas, improving blood circulation and reducing the risk of tissue breakdown.
Choice B reason:
Cleaning the wound with hydrogen peroxide solution is not recommended for pressure ulcers as it can damage healthy tissue and delay wound healing. Alternative wound cleaning solutions that are less harsh should be used to promote a more conducive healing environment.
Choice C reason:
Massaging reddened areas with dressing changes is contraindicated as it can exacerbate tissue damage and increase the risk of further ulceration. Gentle handling and appropriate wound care are essential to prevent additional harm to the affected areas.
Choice D reason:
Applying a heat lamp twice a day is not a standard or recommended practice for treating pressure ulcers. Heat can increase the risk of burns and further tissue damage. Proper wound care, including maintaining a clean and moist wound environment, is more effective for healing.
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