The client has been splashed in the eye with a weak acid and is to have the eye irrigated. The nurse should direct the flow to which area of the eye?
A. Against the center of the eye
B. From the inner canthus to the outer canthus
C. From the outer canthus to the inner canthus
D. Against the inner aspect of the eyelid, avoiding direct contact with the corneal surface
B
Directing the flow from the inner canthus toward the outer canthus, with the client lying on the affected side, allows greatest exposure of the cornea to the irrigating fluid without increasing the risk of the client aspirating the irrigation fluid. In addition, the risk for infection is reduced by having the fluid flow away from the nasal punctum.
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The client has completed the contracted number of crisis clinic visits and tells the nurse "I have
emerged from this as a stronger person. I realize I am not superwoman; it's OK not to have to do everything for everybody. You supported me as I worked through my feelings of loss and helped me find community resources. My mother is doing well in the nursing home and I am profiting from a support group for the relatives of the residents.". The nurse responds "I wonder whether you would consider it worthwhile to spend additional time exploring why your feelings about giving up the caregiver role were so intense.". When the nurse makes this overture, the assessment can be made that a. the client is experiencing transference. b. the client demonstrates need for continuing support. c. the nurse is having difficulty terminating. d. the nurse is empathizing client dependency feelings.
A patient is admitted to the labor and delivery unit with a history of ruptured membranes for 2 hours. This is her sixth delivery; she is 40 years old, and smells of alcohol and cigarettes. This patient is at risk for:
1. Gestational diabetes. 2. Placenta previa. 3. Abruptio placentae. 4. Placenta accreta.
Children experience psychiatric and mental health problems in the same way as adults experience them
Indicate whether the statement is true or false
A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information?
a. P-6, B-4, (S)Ab-2 b. Grav 6, Term 4, (S)Ab-2, Living 4 c. Patient has had four living babies. d. Patient has been pregnant six times.