NCLEX-PN

Category - Reduction of Risk

A nurse is assigned to care for a client with cerebellar dysfunction. Which of the following actions should be the nurse’s immediate priority?
  1. Place soft pads around the client’s bed
  2. Lower the height of the bed
  3. Encourage self-expression
  4. Approach the client from the left side before initiating procedures
Explanation
Answer: B - The cerebellum is mainly involved in coordinating voluntary motor movements, muscle tone, balance, and equilibrium. A client with cerebellar dysfunction has a tendency toward falling and is unable to judge distances. The nurse should adhere to and maintain fall precautions by lowering the height of the bed. Option A is more appropriate for client with seizures. Option C is more appropriate for clients with aphasia, which involves the frontal lobe of the cerebrum. Option D is more appropriate for clients with left-sided homonymous hemianopsia.
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