The nurse is caring for a client who is diagnosed with glaucoma. The client wants to know why this condition can lead to blindness. What is the best response by the nurse?
1. The fluid in the eye blocks the optic nerve.
2. Pressure around the optic nerve builds over time.
3. The optic nerve cannot transmit signals with glaucoma.
4. The optic nerve atrophies.
2
Rationale 1:Fluid causes an increase in the pressure thatpushes on the optic nerve and leads to blindness over time. It is the pressure not the fluid.
Rationale 2: Over time, pressure around the optic nerve can build, leading to blindness. In some cases, eye injury can be sudden, but in most cases it is gradual.
Rationale 3: Pressure on the optic nerve leads to blindness over time.
Rationale 4: Pressure on the optic nerve leads to blindness over time.
Global Rationale: Over time, pressure around the optic nerve can build, leading to blindness. In some cases, eye injury can be sudden, but in most cases it is gradual.
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The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history?
a. "Why did you come to the United States?" b. "When did you come to the United States and from what country?" c. "What made you leave your native country?" d. "Are you planning to return to your home?"
The nurse is discussing home management with a patient who will begin taking an al-pha-adrenergic antagonist for hypertension. Which statement by the patient indicates under-standing of the teaching?
a. "I need to stop the medication if my heart rate increases." b. "I should not drive while taking this me-dication." c. "I should take the first dose at bedtime." d. "I will stop taking the medication if I feel dizzy."
The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. The client, who is from a different culture, has not been able to achieve this goal. The nurse should:
A) Consider whether the client's belief system has been an influencing factor. B) Extend the time frame and give the client a longer period to achieve the goal. C) Select a different goal. D) Make sure that the client understands the importance of the goal.
A family is involved in an automobile accident. The father, who is unconscious, and his 14-year-old son, who has suffered life-threatening injuries, are transported by ambulance to the hospital
The hospital staff attempt to contact the mother; however, they learn from the housekeeper that the mother is out of the country and not reachable by phone. Which of the following actions would be most reasonable and prudent on the part of the hospital staff? a. Obtain informed consent from the child, if possible, and with or without it, provide life-saving procedures. b. Get a court order from a judge in case the family later has objections to some of the care, such as the use of blood products. c. Have the housekeeper give informed consent. d. Locate another relative and get informed consent.