at intervals throughout the day. Massage the feet and ankles regularly. ■ 4. client’s 51. The nurse is planning the care of a hemiplegic client to prevent joint deformities of the arm and hand. Which of the following positions are appropriate? Placing a pillow in the axilla so the arm is ■ 1. away from the body. Inserting a pillow under the slightly fl exed 2. ■ arm so the hand is higher than the elbow. Immobilizing the extremity in a sling. 3. ■ Positioning a hand cone in the hand so the 4. ■ fi ngers are barely fl exed. Keeping the arm at the side using a pillow. 5. ■ 52. For the client who is experiencing expressive aphasia, which nursing intervention is helpful most in promoting communication? Speaking loudly. 1. ■ Using a picture board. 2. ■ Writing directions so client can read them. 3. ■ Speaking in short sentences. ■ 4. 53. The nurse is teaching the family of a client with dysphagia about decreasing the risk of aspiration while eating. Which of the following strategies is appropriate? not Maintaining an upright position. 1. ■ Restricting the diet to liquids until swallowing 2. ■ improves. Introducing foods on the unaffected side of 3. ■ the mouth. Keeping distractions to a minimum. ■ 4. 54. Which food-related behaviors are expected in a client who has had a stroke that has left him with homonymous hemianopia? Increased preference for foods high in salt. 1. ■ Eating food on only half of the plate. 2. ■ Forgetting the names of foods. ■ 3. Inability to swallow liquids. 4. ■ 55. A nurse is teaching a client who had a stroke about ways to adapt to a visual disability. Which does the nurse identify as the safety precaution primary to use? Wear a patch over one eye. 1. ■ Place personal items on the sighted side. ■ 2. Lie in bed with the unaffected side toward 3. ■ the door. Turn the head from side to side when walking. 4. ■ 56. A client is experiencing mood swings after a stroke and often has episodes of tearfulness that are distressing to the family. Which is the technique best for the nurse to instruct family members to try when the client experiences a crying episode?
at intervals throughout the day. ■ 4. Massage the client’s feet and ankles regularly. 51. The nurse is planning the care of a hemiplegic client to prevent joint deformities of the arm and hand. Which of the following positions are appropriate? ■ 1. Placing a pillow in the axilla so the arm is away from the body. ■ 2. Inserting a pillow under the slightly fl exed arm so the hand is higher than the elbow. ■ 3. Immobilizing the extremity in a sling. ■ 4. Positioning a hand cone in the hand so the fi ngers are barely fl exed. ■ 5. Keeping the arm at the side using a pillow. 52. For the client who is experiencing expressive aphasia, which nursing intervention is most helpful in promoting communication? ■ 1. Speaking loudly. ■ 2. Using a picture board. ■ 3. Writing directions so client can read them. ■ 4. Speaking in short sentences. 53. The nurse is teaching the family of a client with dysphagia about decreasing the risk of aspiration while eating. Which of the following strategies is not appropriate? ■ 1. Maintaining an upright position. ■ 2. Restricting the diet to liquids until swallowing improves. ■ 3. Introducing foods on the unaffected side of the mouth. ■ 4. Keeping distractions to a minimum. 54. Which food-related behaviors are expected in a client who has had a stroke that has left him with homonymous hemianopia? ■ 1. Increased preference for foods high in salt. ■ 2. Eating food on only half of the plate. ■ 3. Forgetting the names of foods. ■ 4. Inability to swallow liquids. 55. A nurse is teaching a client who had a stroke about ways to adapt to a visual disability. Which does the nurse identify as the primary safety precaution to use? ■ 1. Wear a patch over one eye. ■ 2. Place personal items on the sighted side. ■ 3. Lie in bed with the unaffected side toward the door. ■ 4. Turn the head from side to side when walking. 56. A client is experiencing mood swings after a stroke and often has episodes of tearfulness that are distressing to the family. Which is the best technique for the nurse to instruct family members to try when the client experiences a crying episode?