Author Question: A patient recovering from a stroke has agnosia. What should the nurse do when caring for this ... (Read 79 times)

kfurse · **on:** Jun 25, 2018

A patient recovering from a stroke has agnosia. What should the nurse do when caring for this patient?

1. Frequently repeat the names of familiar persons and objects in the patient's room when providing care.
2. Help the patient move hands and arms through the motions of combing hair and getting dressed.
3. Speak with a normal tone of voice near the ear on the unaffected side.
4. Talk normally to the patient but allow adequate time for the patient's short responses.

Question 2

The nurse is caring for a patient with a seizure disorder who is scheduled for surgery to remove the epileptogenic focus within the cerebral cortex. The nurse realizes that this patient must have met which criteria to have this type of surgery planned?

Select all that apply.

1. The patient desires to have a family.
2. There is one focal point located within the patient's brain.
3. The patient cannot afford antiseizure medication prescribed.
4. Medications have not been successful to control seizure activity.
5. The patient is unable to hold a full-time job because of seizure activity.

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

Answer to Question 1

Correct Answer: 1
Agnosia is the inability to recognize one or more subjects that were previously familiar, which can be visual, tactile, or auditory. The nurse can assist the patient by frequently repeating names of familiar persons and objects in the patient's room when providing care. Helping with grooming actions assists the patient who has apraxia. Speaking with a normal tone of voice describes the approach for a patient with a hearing deficit. Allowing time for the patient to respond helps with expressive aphasia.

Answer to Question 2

Correct Answer: 2, 4, 5
Resective surgery, with removal of the epileptogenic focus, is an option for patients whose seizures are not well controlled with AEDs. Candidates for this type of surgery include those who are unresponsive to medical management, who have a unilateral focus, and who have impaired quality of life from seizures. Family planning and the cost for the medication are not reasons to have elective surgery to remove the epileptogenic focus.