NursingPlex
    Sign In
    ATI N480 Med Surg Cardiovascular proctored Exam

    A nurse caring for a client who has developed homonymous hemianopia affecting their left visual field after a stroke. Which of the following interventions is appropriate for this client?

    Explanation & Rationale

    Choice A reason: Wearing sunglasses is not an appropriate intervention for homonymous hemianopia, a visual field defect from stroke affecting the same side of both eyes. Sunglasses may reduce glare but do not address the loss of left visual field or help compensate for the neurological deficit. Choice B reason: Scanning from left to right is incorrect for left homonymous hemianopia. This would prioritize the intact right visual field, neglecting the affected left side. Clients need to scan toward the affected side (right to left) to compensate for the visual loss and ensure awareness of their environment. Choice C reason: Applying eye ointment is irrelevant for homonymous hemianopia, which results from brain damage (e.g., occipital lobe stroke) rather than ocular issues. Ointment may treat dry eyes or infections but does not address the neurological visual field defect caused by disrupted visual pathways. Choice D reason: Teaching the client to scan from right to left is appropriate for left homonymous hemianopia. This compensates for the lost left visual field by training the client to actively turn their head toward the affected side, improving awareness of their environment and reducing collision risks.

    🔒 Submit your answer to reveal