A nurse is caring for a client who is postoperative from cataracts surgery. For which eye injury is this client most at risk following cataracts surgery?
A) Blunt trauma
B) Retinal detachment
C) Perforating injury
D) Penetrating injury
Answer: B
Retinal detachment may occur after lens removal, such as after cataracts surgery. The client is not at higher risk for any of the other eye injuries.
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A nurse evaluates the following data in a client's chart:
Admission Note Laboratory Results Wound Care Note 66-year-old male with a health history of a cerebral vascular accident and left-side paralysis White blood cell count: 8000/mm3 Prealbumin: 15.2 mg/dL Albumin: 4.2 mg/dL Lymphocyte count: 2000/mm3 Sacral ulcer - 4 cm × 2 cm × 1.5 cm Based on this information, which action should the nurse take? a. Perform a neuromuscular assessment. b. Request a dietary consult. c. Initiate Contact Precautions. d. Assess the client's vital signs.
A 17-year-old female is suspected of having narcolepsy. Which of the following aspects of her medical history and sleep analysis would contribute to a confirmation of the diagnosis?
Select all that apply. A) She repeatedly moves her large toe, ankle, and knee during sleep. B) She complains of a powerful urge to move her legs when in bed at night. C) She has frequently awakened unable to move or speak. D) She believes that she experiences auditory hallucinations when she awakens. E) Her sleep latency is normally around 1 hour.
Urodynamic testing is carried out in the urologist's office to study incontinence. Because voiding in the presence of others can cause a situational anxiety, the nurse must do what?
A) Note the patient's urge to push. B) Note the character of the patient's stream. C) Discuss test results as they are formulated. D) Help the patient relax.
Parenteral administration of iron should be administered by which route?
a. intradermal c. intravenous b. intramuscular Z-track d. subcutaneous