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HESI RN MEDICAL SURGICAL EXAM PACK QUESTIONS AND ANSWERS
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Question Number 10
A client is experiencing homonymous hemianopsia as the result of a brain attack. Which nursing intervention would the nurse implement to address this condition?A) Turn Nancy every two hours and perform active range of motion exercises.B) Place the objects Nancy needs for activities of daily living on the left side of the table.C) Speak slowly and clearly to assist Nancy in forming sounds to words.D) Request that the dietary department thicken all liquids on Nancy's meal and snack trays.
B) Place the objects Nancy needs for activities of daily living on the left side of the table.Rationale: Homonymous hemianopsia is loss of the visual field on the same side as the paralyzed side. This results in the client neglecting that side of the body, so it is beneficial to place objects on that side. Nancy had a left-hemisphere brain attack so her right side is the weak side. Speaking slowly and clearly would address the client's verbal deficits due to aphasia. Requesting all liquids to be thickened would address dysphagia. Turning the client every 2 hours and performing active range of motion exercises would address the client's risk for immobility due to paralysis.
✔ Correct Answer:
B) Place the objects Nancy needs for activities of daily living on the left side of the table.Rationale: Homonymous hemianopsia is loss of the visual field on the same side as the paralyzed side. This results in the client neglecting that side of the body, so it is beneficial to place objects on that side. Nancy had a left-hemisphere brain attack so her right side is the weak side. Speaking slowly and clearly would address the client's verbal deficits due to aphasia. Requesting all liquids to be thickened would address dysphagia. Turning the client every 2 hours and performing active range of motion exercises would address the client's risk for immobility due to paralysis.
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