NUR 258 Chapter 67 Emergency Nursing Test bank
Questions With Complete Solutions
Ans: A
Feedback:
Patients with decreased field of vision should first be
approached on the side where visual perception is intact. All
visual stimuli should be placed on this side. The patient can and
should be taught to turn the head in the direction of the defective
visual field to compensate for this loss. The nurse should
constantly remind the patient of the other side of the body and
should later stand at a position that encourages the patient to
move or turn to visualize who and what is in the room.
A patient who suffered an ischemic stroke now has disturbed
sensory perception. What principle should guide the nurses care
of this patient?
A) The patient should be approached on the side where visual
perception is intact.
B) Attention to the affected side should be minimized in order to
decrease anxiety.
C) The patient should avoid turning in the direction of the
defective visual field to minimize shoulder subluxation.
D) The patient should be approached on the opposite side of
where the visual perception is intact to promote recovery.
Ans: D
Feedback:
The affected extremities are exercised passively and put through
,a full ROM four or five times a day to maintain joint mobility,
regain motor control, prevent development of a contracture in
the paralyzed extremity, prevent further deterioration of the
neuromuscular system, and enhance circulation. Active ROM
exercises should ideally be performed more than once per day.
What should be included in the patients care plan when
establishing an exercise program for a patient affected by a
stroke?
A) Schedule passive range of motion every other day.
B) Keep activity limited, as the patient may be over stimulated.
C) Have the patient perform active range-of-motion (ROM)
exercises once a day.
D) Exercise the affected extremities passively four or five times
a day.
Ans:
D
Feedback:
The patient with homonymous hemianopsia (loss of half of the
visual field) turns away from the affected side of the body and
tends to neglect that side and the space on that side; this is called
amorphosynthesis. In such instances, the patient cannot see food
on half of the tray, and only half of the room is visible. It is
important for the nurse to remind the patient constantly of the
other side of the body, to maintain alignment of the extremities,
and if possible, to place the extremities where the patient can see
them. Patients with a decreased field of vision should be
approached on the side where visual perception is intact. All
visual stimuli (clock, calendar, and television) should be placed
, on this side. The patient can be taught to turn the head in the
direction of the defective visual field to compensate for this loss.
Increasing the natural or artificial lighting in the room and
providing eyeglasses are important in increasing vision. There is
no reason to keep the lights dim.
A female patient is diagnosed with a right-sided stroke. The
patient is now experiencing hemianopsia. How might the nurse
help the patient manage her potential sensory and perceptional
difficulties?
A) Keep the lighting in the patients room low.
B) Place the patients clock on the affected side.
C) Approach the patient on the side where vision is impaired.
D) Place the patients extremities where she can see them.
Ans: D
Feedback:
Strokes can be divided into two major categories: ischemic
(87%), in which vascular occlusion and significant
hypoperfusion occur, and hemorrhagic (13%), in which there is
extravasation of blood into the brain or subarachnoid space.
trends. The nurse should know that hemorrhagic stroke currently
accounts for what percentage of total The public health nurse is
planning a health promotion campaign that reflects current
epidemiologic strokes in the United States?
A) 43%
B) 33%
C) 23%
D) 13%
Questions With Complete Solutions
Ans: A
Feedback:
Patients with decreased field of vision should first be
approached on the side where visual perception is intact. All
visual stimuli should be placed on this side. The patient can and
should be taught to turn the head in the direction of the defective
visual field to compensate for this loss. The nurse should
constantly remind the patient of the other side of the body and
should later stand at a position that encourages the patient to
move or turn to visualize who and what is in the room.
A patient who suffered an ischemic stroke now has disturbed
sensory perception. What principle should guide the nurses care
of this patient?
A) The patient should be approached on the side where visual
perception is intact.
B) Attention to the affected side should be minimized in order to
decrease anxiety.
C) The patient should avoid turning in the direction of the
defective visual field to minimize shoulder subluxation.
D) The patient should be approached on the opposite side of
where the visual perception is intact to promote recovery.
Ans: D
Feedback:
The affected extremities are exercised passively and put through
,a full ROM four or five times a day to maintain joint mobility,
regain motor control, prevent development of a contracture in
the paralyzed extremity, prevent further deterioration of the
neuromuscular system, and enhance circulation. Active ROM
exercises should ideally be performed more than once per day.
What should be included in the patients care plan when
establishing an exercise program for a patient affected by a
stroke?
A) Schedule passive range of motion every other day.
B) Keep activity limited, as the patient may be over stimulated.
C) Have the patient perform active range-of-motion (ROM)
exercises once a day.
D) Exercise the affected extremities passively four or five times
a day.
Ans:
D
Feedback:
The patient with homonymous hemianopsia (loss of half of the
visual field) turns away from the affected side of the body and
tends to neglect that side and the space on that side; this is called
amorphosynthesis. In such instances, the patient cannot see food
on half of the tray, and only half of the room is visible. It is
important for the nurse to remind the patient constantly of the
other side of the body, to maintain alignment of the extremities,
and if possible, to place the extremities where the patient can see
them. Patients with a decreased field of vision should be
approached on the side where visual perception is intact. All
visual stimuli (clock, calendar, and television) should be placed
, on this side. The patient can be taught to turn the head in the
direction of the defective visual field to compensate for this loss.
Increasing the natural or artificial lighting in the room and
providing eyeglasses are important in increasing vision. There is
no reason to keep the lights dim.
A female patient is diagnosed with a right-sided stroke. The
patient is now experiencing hemianopsia. How might the nurse
help the patient manage her potential sensory and perceptional
difficulties?
A) Keep the lighting in the patients room low.
B) Place the patients clock on the affected side.
C) Approach the patient on the side where vision is impaired.
D) Place the patients extremities where she can see them.
Ans: D
Feedback:
Strokes can be divided into two major categories: ischemic
(87%), in which vascular occlusion and significant
hypoperfusion occur, and hemorrhagic (13%), in which there is
extravasation of blood into the brain or subarachnoid space.
trends. The nurse should know that hemorrhagic stroke currently
accounts for what percentage of total The public health nurse is
planning a health promotion campaign that reflects current
epidemiologic strokes in the United States?
A) 43%
B) 33%
C) 23%
D) 13%
