The nurse is caring for a client who has homonymous hemianopsia following an acute stroke. Which nursing diagnosis is the most appropriate for this client?

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11ecbb05_ca27_a8a9_b433_b5eb2af37af7_MD0009_00 Cerebral vascular accidents (strokes) can cause visual and perceptual deficits depending on which part of the brain is affected. Clients with changes in visual field or perception of their body in space can be at risk for safety-related injuries. Homonymous hemianopsia is a loss in half of the visual field on the same side. For example, the client may lose the left side of the visual field in both eyes. A client unable to see the left side of the body is at a higher risk for neglecting that side or being unable to eat food placed on the left side of a plate. These clients are at higher risk for injury because they are unable to incorporate full visual field input. They are taught to turn the head and scan to the side with the visual field deficit to reduce the risk for injury and self-neglect. (Option A) Clients with a reduced visual field are not at a higher risk for ineffective airway maintenance. (Option B) Clients with a reduced visual field are at risk for knowledge deficit and should be taught to turn the head and scan the area with the deficit. However, this risk is not more important than client safety and the risk of self-neglect. (Option C) Clients with a reduced visual field are not specifically at higher risk for reduced fluid intake. Food and fluids should be kept within the client's field of vision to encourage intake as appropriate. Educational objective: Homonymous hemianopsia is the loss of one half of the field of vision on the same side in both eyes. Clients are taught to turn their heads and scan the area that has a visual deficit to reduce the risk of injury and self-neglect. Food and fluids should be kept within the client's field of vision to encourage intake as appropriate.

The Nurse Is Caring for a Client Who Has Homonymous