A nurse is caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Provide a nonskid mat to reduce plate movement.
Encourage the use of wide grip utensils.
Remind that the client look for food on the left side of the tray.
Encourage the client to use her right hand when feeding herself.
The Correct Answer is C
A. A nonskid mat might be helpful for plate stability, but it does not address the visual deficit related to homonymous hemianopsia.
B. Wide grip utensils are useful for motor difficulties, but the primary issue here is a visual field deficit, not motor impairment.
C. Homonymous hemianopsia results in loss of vision in the same half of the visual field in both eyes. Encouraging the client to turn her head or look for food on the affected side (left side of the tray) can help compensate for the visual loss.
D. While using the right hand may be important after a right-sided stroke, the more pressing issue here is addressing the visual field deficit, not hand preference.
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Correct Answer is D
Explanation
A. Gelatin allergies are not directly related to cardiac catheterization procedures, as iodine-based contrast media is typically used.
B. A yeast allergy is unrelated to the contrast dye or materials used in the procedure.
C. Egg allergies may be relevant to some medications or vaccines, but they are not typically a concern in cardiac catheterization.
D. Shellfish allergies are important because clients with shellfish allergies may also react to iodine-based contrast dyes commonly used in cardiac catheterization procedures.
Correct Answer is ["A","B","C"]
Explanation
A. Falls are one of the leading causes of TBIs, especially in older adults and young children.
B. Violence, including assaults or domestic abuse, can result in traumatic brain injuries, often due to blunt trauma to the head.
C. Sports-related injuries, particularly from contact sports like football or boxing, are a well-recognized cause of TBIs.
D. While firefighting can involve physical risks, it is not a direct cause of traumatic brain injuries unless an accident involving the head occurs.
E. Working in a factory, though it may pose various risks, does not typically involve causes directly linked to TBIs unless there is an accidental head injury.