The nurse is providing eye care for a patient with Bell's palsy. Which of the following nursing actions is most appropriate to help protect the affected eye?
a. Request an order for ointment and a patch.
b. Apply a warm moist compress to the eye three times a day.
c. Keep the room lights dim at all times.
d. Check for pupil response twice a day.
ANS: A
Eyedrops and a patch can help keep the eye closed and protect the patient's eye. A warm compress will not protect the eye, especially if it is only used three times a day. Dimming the lights and checking pupils will not protect the eye.
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When performing a physical examination of a hematological or immunocompromised patient, the critical care nurse focuses on which of the following major areas?
A) Skin, liver, spleen, lymph nodes B) Skin, respiratory, cardiac, spleen C) Skin, liver, cardiac, lymph nodes D) Respiratory, kidney function, liver, spleen
The nurse on the medical unit is admitting a client. When the nurse asks the client about advance directives, the client states, "I have a living will." Which is the purpose of a living will?
A) Provides specific instructions about type of medications the client requires to sustain life B) Provides specific instructions about what medical treatment the client chooses to omit or refuse in the event they can no longer make decisions for themselves C) Provides specific instructions about who will make healthcare decisions if the client cannot D) Provides specific instructions about how decisions are to be made if the client is unable to make the decisions
How should the following scenario be evaluated with respect to the goal of encouraging the nursing assistant to be accountable for learning skills?
Nursing assistant: "I do not know how to use the new lifting device to get Mrs. Jackson out of bed. I missed the demonstration the other day." LPN/LVN charge nurse: "I will ask Kay if she has time to get Mrs. Jackson out of bed with the new device while you assist. How can you prepare yourself to use the new device?" Nursing assistant: "I could watch closely when I assist Kay and ask questions. Then, I guess I could watch the videotape that came from the company and practice with a couple of the aides when they have time." LPN/LVN charge nurse: "Good plan. I will plan to observe and evaluate your competency tomorrow afternoon." The scenario should be evaluated as a. a good example of encouraging the nursing assistant to be accountable for learning. b. too pushy on the part of the LPN/LVN charge nurse. c. placing too much responsibility on the nursing assistant. d. placing too much responsibility on the LPN/LVN charge nurse. e. condescending to the nursing assistant.
Which type of theory may describe a phenomenon, explain relationships of concepts or predict effects of a phenomenon?
A) Metatheory B) Grand theory C) Middle range theory D) Practice theory