A client has a foreign body in the eye. What action by the nurse takes priority?
a. Administering ordered antibiotics
b. Assessing the client's visual acuity
c. Obtaining consent for enucleation
d. Removing the object immediately
ANS: A
To prevent infection, antibiotics are provided. Visual acuity in the affected eye cannot be assessed. The client may or may not need enucleation. The object is only removed by the ophthalmologist.
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A) Hyperkalemia B) Hypermagnesemia C) Hypocalcemia D) Hypokalemia
The nurse is conducting a skin assessment for a toddler-age patient who attends daycare. Which infectious skin disorders will the nurse include in the assessment process? Select all that apply
1) Tinea capitis 2) Ringworm 3) Eczema 4) Diaper rash 5) Head lice
An 82-year-old client walked 2 miles last week to enjoy the spring weather. The client says since that time, "I haven't been doing very much, I'm afraid it will hurt." Which action by the nurse is most appropriate?
A) Discuss moderation in activity, encouraging continued movement. B) Obtain a cane for use to improve balance, and reduce the client's fears. C) Encourage the client to walk the 2 miles every day. D) Have the client take ibuprofen (Motrin IB) every morning.
Signs or symptoms that may be the result of abuse include
A. a toothache. B. bruises. C. dry skin. D. unmatched clothing.