84.7k views
5 votes
A patient who suffered an ischemic stroke now has disturbed sensory perception. What principle should guide the nurse's care of this patient?

A) The patient should be approached on the side where visual perception is intact.
B) Attention to the affected side should be minimized in order to decrease anxiety.
C) The patient should avoid turning in the direction of the defective visual field to minimize shoulder subluxation.
D) The patient should be approached on the opposite side of where the visual perception is intact to promote recovery.

User Adithi
by
8.3k points

1 Answer

5 votes

Final answer:

The nurse should approach the patient on the side where visual perception is intact to ensure patient safety and effective communication. This guideline is particularly important when the patient has a visual field deficit following a stroke.

Step-by-step explanation:

When caring for a patient who has suffered an ischemic stroke with disturbed sensory perception, the guiding principle for nursing care is as follows: the patient should be approached on the side where visual perception is intact (Option A). This approach helps in ensuring the patient's safety and maximizes their ability to interact and communicate effectively with healthcare providers. Since the patient may have a visual field deficit such as bilateral hemianopia, it's important to consider that they can lose the outermost areas of their field of vision and may not see objects to their right and left. Providing care and communication from the side with intact vision aids in reducing confusion and anxiety for the patient.

Furthermore, close monitoring and assessment of neurological function post-stroke are essential for determining the extent of injury and to plan for rehabilitation. It's crucial to assess the patient's ability to perceive different types of sensory inputs such as pain and fine touch to pinpoint the level of damage, especially when high-tech imaging is not immediately available

User Ahmed Tag Amer
by
8.4k points