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Early in the care of the patient diagnosed with a right-sided brain stroke and disturbed visual sensory perception related to homonymous hemianopsia, what should the nurse do?
- A. Place objects on the right side within the patient's field of vision.
- B. Approach the patient from the left side to encourage the patient to turn the head.
- C. Place objects on the patient's left side to assess the patient's ability to compensate.
- D. Patch the affected eye to encourage the patient to turn the head to scan the environment.
Correct Answer: B
Rationale: Encouraging the patient to turn their head helps them become aware of their blind side
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Mrs. Aster occasionally has pain and stiffness in her hand and fingers. Which of the following nursing measures would most effectively ease her discomfort?
- A. Wrapping her hands in a heating pad
- B. Placing a hot water bottle on top of her hands
- C. Immersing her hands in comfortably hot water
- D. Extending her hands over a heat source, e.g., register or stove
Correct Answer: C
Rationale: Immersion in warm water provides even heat distribution, reducing stiffness and pain.
The nurse is providing post-procedure care for a patient recovering from a lumbar puncture. Which order should the nurse anticipate for this patient?
- A. Keep the patient NPO for 4 hours.
- B. Have the patient lie flat for 6 hours.
- C. Monitor the patient's pedal pulses every 4 hours.
- D. Keep the head of the bed elevated 30 degrees for 8 hours.
Correct Answer: B
Rationale: After a lumbar puncture, the patient should lie flat for 6 to 8 hours to prevent cerebrospinal fluid leakage and reduce the risk of a spinal headache. Monitoring pedal pulses or elevating the head of the bed is not necessary. Proper post-procedure care minimizes complications.
Following 2 weeks of IV antibiotic therapy, a patient with acute osteomyelitis of the tibia is prepared for discharge from the hospital. The nurse determines that additional instruction is needed when the patient makes which statement?
- A. I will need to continue antibiotic therapy for 4 to 6 weeks.
- B. I shouldn't bear weight on my affected leg until healing is complete.
- C. I can use a heating pad on my lower leg for comfort and to promote healing.
- D. I should notify the health care provider if the pain in my leg becomes worse.
Correct Answer: C
Rationale: Heating pads are contraindicated in osteomyelitis.
Mrs. Moore is a client with Parkinson disease. The nurse can anticipate that Mrs. Moore's major nursing needs will be
- A. monitoring for seizures
- B. decreasing pain tolerance
- C. assisting with activities of daily living
- D. preventing diarrhea
Correct Answer: C
Rationale: Parkinson's disease affects motor skills, requiring assistance with daily activities.
Aldosterone:
- A. increases mRNA synthesis
- B. deficiency results in hypotension
- C. increases sodium reabsorption from sweat
- D. all above
Correct Answer: D
Rationale: Aldosterone increases mRNA synthesis to enhance sodium reabsorption, and its deficiency can lead to hypotension. It also promotes sodium reabsorption from sweat, helping maintain electrolyte balance.