A nurse is caring for a patient with right-sided weakness ...

[Lisaclaire]

A nurse is caring for a patient with right-sided weakness following a stroke. Which nursing action would be least effective in promoting positive adaptation of the patient's sensory deficit?
 
  a. Placing the patient's belongings on the affected side
  b. Approaching the patient from the affected side
  c. Teaching the patient how to create a safe environment
  d. Completing sentences that the patient cannot finish

Question 2

The patient is in the intensive care unit (ICU), which has strict posted visiting hours and limits the number of visitors to two per patient at any one time. The patient is asking to see his wife and two daughters. The nurse should
 
  a. Tell the patient that they will be allowed to visit at the appropriate time.
  b. Allow the wife and one daughter to enter the ICU, but not the other daughter.
  c. Allow the two daughters to visit, and let the wife visit when they leave.
  d. Allow the wife and daughters to visit at the patient's request.

[guyanai]

Answer to Question 1

D
Completing the patient's sentences is not beneficial to the patient; instead provide the patient with plenty of time and opportunity to begin speaking. Creating a safe environment is important to reduce risk of injury. Placing objects on the patient's affected side and approaching the patient from the affected side cause the patient to be aware of the affected side and to learn to adapt and incorporate the affected part of the body. If the patient does not acknowledge the affected side, it will become neglected, and risk of injury will increase.

Answer to Question 2

D
Use of support systems is important in any health care setting. When patients depend on family and friends for support, encourage them to visit the patient regularly. As long as no interference with active patient care is involved, there is no reason to limit visitation.

[Lisaclaire]

TYSM

[bigsis44]

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