The nurse is assisting a client who has experienced a left-sided cerebral vascular accident. The client requires assistance with personal hygiene. Which intervention should the nurse do initially ?

  • provide positive feedback
  • place hygiene items on the client’s left side
  • provide assistive devices
  • assess abilities and level of deficit
Number 4 is correct.
Assessment is the first step of the nursing process and should precede all interventions. Provide positive feedback to the client when independent activity or progress occurs. Because hemiparesis typically occurs on the opposite side of the injury to the brain, hygiene items should be placed on the client’s right side. As determined after assessment, assistive devices are provided for self-care activities.