59. A client has right-sided paralysis. When removing their pullover blouse, the nursing assistant would begin
Answer: A
The nursing assistant would begin with the left arm.
When assisting a client with right-sided paralysis in removing their pullover blouse, it is essential to start with the unaffected side, which is the left arm. This approach facilitates the process and minimizes discomfort or complications for the client.
A) with the left arm
This option is correct as it follows the principle of dressing and undressing from the unaffected side first. Starting with the left arm allows for a smoother transition and reduces the risk of straining the right side, where the paralysis exists.
B) with the right arm
This option is incorrect. Beginning with the right arm could cause unnecessary stress and difficulty for the client, as the right side is paralyzed. It is generally recommended to avoid using the affected side first to prevent complications.
C) by turning the client on their left side
This option is incorrect. While turning the client may assist in certain situations, it is not necessary for simply removing a pullover blouse. The focus should be on managing the clothing with minimal movement of the paralyzed side.
D) by turning the client on their right side
This option is also incorrect. Turning the client onto their right side could exacerbate their condition by placing weight on the paralyzed side, making the task of removing clothing more complicated and uncomfortable.
Conclusion
The correct answer is to begin with the left arm, as this approach efficiently accommodates the client's right-sided paralysis. All other options either complicate the process or introduce unnecessary risks, making them unsuitable for this situation. Starting with the unaffected side is a fundamental practice in patient care that ensures safety and comfort for clients with physical limitations.