A home health nurse is assigned to a client who was recently discharged from

rehabilitation centre after experiencing a RIGHT-hemispheric cerebrovascular

accident (CVA). Which of the following neurological deficits should the nurse expect

to find when assess? (Select all that apply)

{{Answers:- Visual spatial deficits (loss of depth perception occur secondary)

Left hemianopsia (blindness in the left half of the visual field, occurs secondary)

One-sided neglect (unawareness of the affected side, occurs secondary)

Expressive aphasia is incorrect. Expressive aphasia, or an inability to express what

one wants to convey, occurs secondary to a left-hemispheric stroke.

Right hemiplegia is incorrect. Right hemiplegia occurs secondary to a lefthemispheric stroke.

A nurse is reviewing the health record of a client who is scheduled for allergy skin

testing. The nurse should postpone the testing and report to the provider which of

the following findings?

{{Answers:- A. Current medications

RATIONALE: The nurse should review the client's medication record and identify

medications, including ACE inhibitors, beta blockers, theophylline, nifedipine, and

glucocorticoids, such as prednisone, that can alter the allergy skin test results.

These medications can diminish the client's reaction to the allergens. The nurse

should notify the provider and instruct the client to discontinue prednisone for 2

weeks before allergy skin testing.

A nurse is caring for a client who has pancreatitis. Which of the labs should be

expected?

{{Answers:- A. Calcium

RATIONALE: A client who has pancreatitis is expected to have decreased calcium

and magnesium levels due to fat necrosis.

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