Unit 2 Flashcards
A Nurse is caring fro a client who has experienced a right hemispheric stroke. The nurse should expect the client to have difficulty with which of the following? SATA
A. Impulse control
B. Moving left side
C. Depth perception
D. Speaking
E. Situational awareness
A. Impulse control
B. Moving left side
E. Situational awareness
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 the body
B. Place the bedside table on the right side of the bed
C. Orient the client to the food on the plating using the clock method
D. Place the wheelchair on the clients left side
B. Place the bedside table on the right side of the bed
A nurse is planning care for a client who has dysphagia and a new dietary prescription. Which of the following should the nurse include in the plan of care? SATA
A.have suction equipment available for use
B.feed the client thickened liquids
C. Place food on the unaffected side of the clients mouth
D. Assign an assistive personnel to feed the client slowly
E. Teach the client to swallow with the neck flexed.
A.have suction equipment available for use
B.feed the client thickened liquids
C. Place food on the unaffected side of the clients mouth
A nurse is caring for a client who has global aphasia (receptive and expressive). Which of the following should the nurse include in the clients plan of care ? SATA
A. Speak to the client at a slower rate
B. Assist the client to use cards with pictures
C. Speak to the client in a loud voice
D. Complete sentence that the client cannot Finish
E. Give instructions one step at a time
A. Speak to the client at a slower rate
B. Assist the client to use cards with pictures
E. Give instructions one step at a time
A nurs is assessing a client. Which of the following findings include that the client has experienced a left - hemispheric stroke?
A. Impulse control difficulty
B.poor judgment
C. Inability to recognize familiar objects
D. Loss of depth perception
C. Inability to recognize familiar objects
The nurse recognizes that which patient is at greatest risk for death secondary to stroke?
A. 36 year old Caucasian male
B. A 45 year old Asian male
C. A 56 year old African American male
D. A 62 year old Hispanic female
C. A 56 year old African American male
A patient is admitted to a unit with a diagnosis of left middle cerebral artery acute ischemic stroke and is not eligible for thrombolytic therapy. The nurse recognizes that this patient is at high risk for which complication?
A. Delirium
B. Aspiration
C. Bronchospasm
D. Palpitations
B. Aspiration
The nurse receives a report on a patient in the ICU with an SAH ( Subarachnoid Hemorrhage) and clarifies that the date of the patients initial bleed was 4 days before. The nurses needs this information to gauge the patients risk which complication of SAH
A. Hydrocephalus
B. Aspiration
C. Vasospasm
D. Myocardial Ischemia
C. Vasospasm
