Author Question: The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements ... (Read 29 times)

a0266361136 · **on:** Jun 25, 2018

The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements related to impaired self-feeding ability for a left-handed patient with left-sided hemiplegia. Which intervention should be included in the plan of care?

a. Provide a wide variety of food choices.
b. Provide oral care before and after meals.
c. Assist the patient to eat with the right hand.
d. Teach the patient the chin-tuck technique.

Question 2

When caring for a patient with a new right-sided homonymous hemianopsia resulting from a stroke, which intervention should the nurse include in the plan of care?

a. Apply an eye patch to the right eye.
b. Approach the patient from the right side.
c. Place objects needed on the patient's left side.
d. Teach the patient that the left visual deficit will resolve.

bassamabas · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Because the nursing diagnosis indicates that the patient's imbalanced nutrition is related to the left-sided hemiplegia, the appropriate interventions will focus on teaching the patient to use the right hand for self-feeding. The other interventions are appropriate for patients with other etiologies for the imbalanced nutrition.

Answer to Question 2

ANS: C
During the acute period, the nurse should place objects on the patient's unaffected side. Because there is a visual defect in the right half of each eye, an eye patch is not appropriate. The patient should be approached from the left side. The visual deficit may not resolve, although the patient can learn to compensate for the defect.