Final answer:
The best action for a nursing assistant caring for a client with severe right-sided hemiplegia after a stroke is to ensure patient safety, support mobility, assist with ADLs and physical therapy exercises, monitor for any changes in condition, and maintain clear communication with the healthcare team.
Step-by-step explanation:
For a nursing assistant caring for a client diagnosed with a stroke resulting in severe right-sided hemiplegia, the best action involves ensuring the patient's comfort and safety, providing support for mobility, and helping with activities of daily living (ADLs). Given that stroke recovery is highly dependent on the speed of intervention and that rehabilitation can significantly improve function, it's key for the nursing assistant to assist with prescribed physical therapy exercises and to monitor the client for any signs of improvement or deterioration.
The patient should be monitored closely for their ability to move, feel, or perform actions with the paralyzed side of their body due to the risk of complications such as pressure sores or muscle atrophy. The assistant should encourage the use of the unaffected side while also helping to maintain range of motion in the affected limbs through gentle exercises if recommended by a physiotherapist.
Furthermore, supporting the client's mental health by being attentive to signs of frustration or depression, which are common after a stroke, is equally important. Timely communication with the healthcare team about the patient's progress or any new symptoms is crucial for ongoing care management.