ATI Med Surge Ch. 15 Stroke – Flashcards

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question
A nurse is caring for a client who has experienced a right-hemisphere stroke. Which of the following are expected findings? (Select all that apply) A. Impulse control difficulty B. Left hemiplegia C. Loss of depth perception D. Aphasia E. Lack of awareness
answer
A, B, C, E
question
*A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention? A. Teach the client to scan to the right to see objects on the right side of her body B. Place the client's bedside table on the right side of the bed C. Orient the client to the food on her plate using the clock method D. Place the client's wheelchair on her left side
answer
B. The client is unable to visualize to the left midline of her body. Placing the client's bedside table on the right side of her bed will permit visualization of items on the table
question
A nurse is planning care for a client who has dysphagia and has a new dietary prescription. Which of the following should the nurse include in the plan of care? (Select all that apply) A. Have suction equipment available for use B. Use thickened liquids C. Place food on the client's unaffected side of her mouth D. Assign as assistive personnel to feed the client slowly E. Teach the client to swallow with her neck flexed
answer
A, B, C, E
question
A nurse is caring for a client who has global aphasia (both receptive and expressive). Which of the following should the nurse include in the client's plan of care? (Select all that apply) A. Speak to the client at a slower rate B. Look directly at the client when speaking C. Allow extra time for the client to answer D. Complete sentences that the client cannot finish E. Give instructions one step at a time
answer
A, B, C, E
question
*A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the following is an expected finding? A. Impulse control difficulty B. Poor judgment C. Inability to recognize familiar objects D. Loss of depth perception
answer
C. The inability to recognize familiar objects is called agnosia
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