The nurse is providing care for a patient diagnosed with an ischemic stroke on the left side of the brain with opposite side affected extremities. The nurse notices that the patient does not easily reach items placed at the bedside. In which area does the nurse place items for easy access?
Left Side
Right Side
Directly in front
Where the patient wants
The Correct Answer is B
A. Placing items on the left side would not be appropriate for a patient with a right-sided weakness (hemiparesis) due to a left-sided ischemic stroke. This would make it harder for the patient to reach the items.
B. Placing items on the right side of the patient is the best option. Since the patient has weakness on the right side, they would have better access to items placed on the unaffected side (left side of the body).
C. Placing items directly in front of the patient could be helpful, but it depends on the severity of the stroke and the patient's ability to move and reach forward. It may not be as effective if the patient has limited mobility.
D. Placing items where the patient wants is a good practice, but the nurse should ensure the placement is practical for the patient's abilities. It is more important to place items on the right side to optimize access.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Neck stiffness is a common symptom of a herniated cervical disc due to irritation of the surrounding tissues and nerve roots.
B. Pain in the neck is one of the hallmark symptoms of a cervical disc herniation, as the disc presses on the nerves in the cervical spine.
C. Low back pain is typically associated with lumbar disc herniation, not cervical disc herniation. A herniated cervical disc would more likely cause symptoms in the neck, shoulders, and arms.
D. Shoulder pain is a common symptom of a herniated cervical disc because the nerves that are compressed in the cervical spine also innervate the shoulders.
E. Tingling in the arms is a common symptom of a herniated cervical disc, as the disc can compress the nerves that supply sensation to the arms, leading to numbness and tingling.
Correct Answer is D
Explanation
A. Dysphasia is a general term for difficulty with speech and language, which can involve problems with speaking, understanding, reading, or writing. It is not specific to the patient's response of raising an arm instead of sticking out the tongue.
B. Dysarthria refers to difficulty with the physical act of speaking due to weakness or incoordination of the muscles involved in speech. It does not involve comprehension or understanding of language.
C. Expressive aphasia refers to difficulty expressing thoughts verbally or in writing, but the patient typically understands language. This does not match the patient's response to the nurse's command.
D. Receptive aphasia is characterized by difficulty understanding spoken or written language. The patient may not comprehend the nurse's instructions, leading to inappropriate responses, such as raising an arm instead of sticking out the tongue.
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