195k views
4 votes
Stroke pt admitted to rehab center. left sided pronator drift, left extremity dorsiflexion, bumps into left wall when sitting in chair/wheelchair. most important action for nurse to take?

- place favorite watch on left wrist
- provide written list for pt to follow during morning care
- instruct to choose a dress for the day
- position client so the right side faces the door of the room

1 Answer

5 votes

Final answer:

Positioning the client so the right side faces the door is the most important action for the nurse, as it facilitates the use of the patient's strong side and encourages awareness of the neglected left side.

Step-by-step explanation:

The most important action for the nurse to take when dealing with a stroke patient who has left-sided pronator drift, left extremity dorsiflexion, and bumps into the left wall when sitting is to position the client so the right side faces the door of the room.

This is important because stroke patients often have a condition called receptive aphasia, which is a loss of the ability to understand received language. By positioning the client so that their right side faces the door, it allows them to see people approaching from that direction and reduces the risk of unexpected bumps or accidents.

Placing a watch on the left wrist, providing a written list, or instructing the client to choose a dress for the day are not as crucial in this situation and do not directly address the safety concerns associated with the patient's condition.

User Nanospeck
by
8.2k points