What nursing interventions related to hygiene are appropriate for a patient who has had a recent stroke that caused right-sided (dominant) paralysis and inability to speak?
A. Perform a full bed bath, brush and floss his teeth, and give him a good back massage.
B. Encourage the patient to use his nondominant hand to wash his face, brush his teeth, and perform other hygiene activities with assistance as necessary.
C. Set up a washbasin and supplies, tell the patient to wash what he can, and provide privacy for the patient to do what he can.
D. Teach a family member to give a full bath so that the family member will be able to care for the patient at home.
Because the older adult patient lies curled up in a side lying position most of the time, the nurse, seeking to avoid a pressure ulcer, makes frequent assessments of the:
A. sacrum.
B. heels.
C. ilium.
D. scapula.
Answer (2)
For a patient with right-sided paralysis from a stroke, the best nursing intervention is to encourage the use of their nondominant hand for personal hygiene activities with the necessary assistance. This approach supports independence and dignity. While setting up a washbasin for the patient is a good alternative, allowing them to engage in self-care is the primary goal. ;
The most appropriate nursing intervention is to encourage the patient to use their nondominant hand for hygiene activities, which promotes independence and dignity (Option B). Caregivers should offer assistance when needed, while also encouraging patient involvement as much as possible. Avoiding doing everything for the patient supports their confidence and autonomy in self-care.
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