CMSRN Medical-Surgical Nursing

Category - Neuro/Muscular

Mr. Booth, age 48 years old, is undergoing rehabilitation after experiencing a thrombotic stroke. The stroke has developed a residual hemiparesis of Mr. Booth’s right side. The nurse caring for Mr. Booth reinforces occupational therapy recommendations by placing items for personal hygiene:
  1. On the overbed table on the right side
  2. On the overbed table on the left side
  3. One foot away from the bed on the right side
  4. One foot away from the bed on the left side
Explanation
Answer - B - Hemiparesis is a one-sided weakness that often occurs following stroke. The client will have maximum return of function and the least amount of frustration with relearning new tasks when objects are placed within easy reach on the unaffected side. This will also decrease the risk for client injury because the client will not have to reach for objects needed for self-care. Unilateral neglect is not a problem when the client has right-sided deficits, so objects do not need to be placed on the affected side.
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