A nurse receives a report on a client who had a left-sided stroke ...

[wrbasek0]

A nurse receives a report on a client who had a left-sided stroke and has homonymous hemianopsia. What action by the nurse is most appropriate for this client?
 
  a. Assess for bladder retention and/or incontinence.
  b. Listen to the client's lungs after eating or drinking.
  c. Prop the client's right side up when sitting in a chair.
  d. Rotate the client's meal tray when the client stops eating.

Question 2

A client had an embolic stroke and is having an echocardiogram. When the client asks why the provider ordered a test on my heart, how should the nurse respond?
 
  a. Most of these types of blood clots come from the heart.
  b. Some of the blood clots may have gone to your heart too.
  c. We need to see if your heart is strong enough for therapy.
  d. Your heart may have been damaged in the stroke too.

[raenoj]

Answer to Question 1

ANS: D
This condition is blindness on the same side of both eyes. The client must turn his or her head to see the entire visual field. The client may not see all the food on the tray, so the nurse rotates it so uneaten food is now within the visual field. This condition is not related to bladder function, difficulty swallowing, or lack of trunk control.

Answer to Question 2

ANS: A
An embolic stroke is caused when blood clots travel from one area of the body to the brain. The most common source of the clots is the heart. The other statements are inaccurate.

[wrbasek0]

Gracias!

[ryhom]

Thanks for the timely response, appreciate it