A client has a corneal ulcer. What information provided by the client most indicates a potential barrier to home care?
a. Chronic use of sleeping pills
b. Impaired near vision
c. Slightly shaking hands
d. Use of contact lenses
ANS: A
Antibiotic eyedrops are often needed every hour for the first 24 hours for corneal ulceration. The client who uses sleeping pills may not wake up each hour or may awaken unable to perform this task. This client might need someone else to instill the eyedrops hourly. Impaired near vision and shaking hands can both make administration of eyedrops more difficult but are not the most likely barriers. Contact lenses should be discarded.
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The cardiologist has told the patient and family that the diagnosis is hypertrophic cardiomyopathy. Later they ask the nurse what the patient did wrong to cause this condition. The nurse explains:
a. "This is a result of a high-cholesterol diet and poor exercise habits." b. "The heart has not been getting enough aerobic exercise and has developed this condition. In cardiac rehabilitation they will work with the patient to strengthen his heart through special exercises." c. "This is an inherited condition. You should give serious consideration to having family members screened for it." d. "This is a result of clot formation in the blood vessels in the heart. We will need to use medications to reduce the risk of further clotting."
Five clients are in active labor in the labor unit. Which women should the nurse monitor carefully for the potential of uterine rupture? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Age 15, in active labor 2. Age 22, with eclampsia 3. Age 25, last delivery by cesarean section 4. Age 32, first baby died during labor 5. Age 27, last delivery 11 months ago
You are preparing community program objectives that are specific, measurable, achievable, relevant, and time bound
Using your knowledge of objectives, program objectives are written in the SMART format to help in planning interventions and establishing measurement systems to evaluate programs and outcomes. What is an example of a measurement objective? A) The program will reduce teenage obesity. B) Fewer teens will start smoking. C) Blood pressure for children aged 12 to 18 in Marks School will be reduced by 5% after petting the dog for 1 day in March 2011. D) The number of older minority residents in Legacy Independent facility receiving a flu shot will triple.
You are the nurse caring for a young mother who has a longstanding diagnosis of multiple sclerosis (MS). She was admitted to your unit with a postpartum infection 3 days ago
You are planning to discharge her home when she has finished 5 days of IV antibiotic therapy. With what information would it be most important for you to provide this patient? A) A succinct overview of postpartum infections B) How the response to infection differs in patients with multiple sclerosis C) The same information you would provide to a patient without a chronic condition D) Information on effective management of multiple sclerosis in the home setting