The nurse is assigned to care for a female client with complete right-sided hemiparesis. The nurse plans care knowing that this condition:
A. The client has complete bilateral paralysis of the arms and legs.
B. The client has weakness on the right side of the body, including the face and tongue.
C. The client has lost the ability to move the right arm but can walk independently.
D. The client has lost the ability to move the right arm but can walk independently.
Correct Answer: B. The client has weakness on the right side of the body, including the face and tongue.
Hemiparesis is a weakness of one side of the body that may occur after a stroke. Complete hemiparesis is a weakness of the face and tongue, arm, and leg on one side. Complete bilateral paralysis does not occur in this condition.
Option A: Hemiparesis is weakness or the inability to move on one side of the body, making it hard to perform everyday activities like eating or dressing. Braces, canes, walkers, and wheelchairs can increase strength and movement. An ankle-foot orthosis brace can help control your ankle and foot. A physical therapist can recommend the appropriate device.
Option C: Left-sided weakness results from injury to the right side of the brain, which controls nonverbal communication and certain behaviors. Repeated practice and regular activity will help increase control and flexibility and re-establish nerve circuitry.
Option D: The client with right-sided hemiparesis has weakness of the right arm and leg and needs assistance with feeding, bathing, and ambulating. Where the stroke occurred in the brain will determine the location of your weakness. Injury to the left side of the brain, which controls language and speaking, can result in right-sided weakness.
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