MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A client who recently experienced a stroke tells the nurse that he has double vision. Which nursing intervention is most appropriate?
A
Alternatively patch one eye every 2 hours.
B
Instill artificial tears.
C
Turn out the lights in the room.
D
Encourage the client to close his eyes.
Explanation: 

Detailed explanation-1: -Nursing Interventions Maintain suctioning and emergency equipment at the bedside. Monitor vital signs. Monitor speech and swallowing abilities to prevent aspiration. Encourage the client to sit up when eating.

Detailed explanation-2: -The nursing priority for a patient in myasthenic crisis is maintaining adequate respiratory function. Place her in a minimum of semi-Fowler position; administer oxygen and suction as needed.

Detailed explanation-3: -The effects of a right hemisphere stroke may include: Left-sided weakness or paralysis and sensory impairment. Denial of paralysis or impairment and reduced insight into the problems created by the stroke (this is called “left neglect") Visual problems, including an inability to see the left visual field of each eye.

Detailed explanation-4: -During the course of GBS, the nurse will need to assess and monitor the patient for respiratory infections including pneumonia. The nurse will need to assess for problems associated with immobility related to muscle weakness and paralysis.

There is 1 question to complete.