The nurse caring for a client following eye surgery reports to the surgeon that the client is showing signs of ptosis (drooping eyelid). What might this finding indicate?
A) Dehydration
B) Paralysis
C) Edema
D) Hemorrhage
C
Feedback:
The nurse should report any paralysis of the face or on the operative side or ptosis (drooping eyelid) immediately. These findings may indicate damage to the facial nerve or the presence of edema.
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The nurse is preparing to discharge a client with chronic kidney disease. The nurse is teaching the client and family about administering calcium acetate tablets by mouth with each meal at home
Which explanation about this medication is the most appropriate? A) "The calcium acetate will lower your serum phosphate levels." B) "The calcium acetate helps to neutralize your gastric acids." C) "The calcium acetate will help to stimulate your appetite." D) "The calcium acetate will decrease your serum creatinine levels."
A hospital has just implemented bar-coded medication administration (BCMA). This would be an example of what level of change?
a. First-level change b. Second-level change c. Third-level change d. No change
The nurse is caring for a group of medical-surgical patients. The patient most at risk for developing an infection is the patient who
a. Is in observation for chest pain. b. Is recovering from a right total hip arthroplasty. c. Has been admitted with dehydration. d. Has been admitted for stabilization of atrial fibrillation.
For the adult client with a pleural chest tube, the expected amount of drainage is:
A. 100 to 3000 ml during the first 3 hours B. 10 to 50 ml during the first 2 hours C. 200 ml during the first 24 hours D. 400 to 500 ml during the first 24 hours