An older adult client who has a mature cataract in the right eye states, "Now I have lost the sight in my right eye because I waited too long for treatment." How does the nurse best respond to the client?
a. "Yes, this type of blindness could have been prevented by earlier treatment."
b. "It is fortunate you came for treatment in time to save the sight of your other eye."
c. "Nothing you could have done would have made any difference."
d. "Surgery can still save the sight in your eye with removal of the cataract."
D
Although sight is increasingly impaired as a cataract matures, no other damage is done to the eye by waiting. Removal of the cataract will result in improved vision, regardless of how long the cataract has been present. No indication suggests that the client will develop a cataract in the other eye. The other statements are inaccurate.
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The nurse is reviewing recommendations for screenings. Recommendations state that: (Select all that apply.)
a. women ages 21 to 29 should have a Pap test every 3 years. b. self-breast exams should be addressed with male and female patients. c. adolescent males should perform monthly self-testicular exams. d. women ages 30 to 65 should receive Pap tests every 10 years. e. after a total hysterectomy, Pap testing should be more frequent.
An 8-year-old boy has been diagnosed with diabetes. A nurse is teaching his mother how to plan meals that are appropriate for him. The nurse asks the mother to put together a 24-hour meal plan for her son and then reviews the plan with her
What type of teaching method did the nurse use? a. Simulation b. Role-play c. Analogy d. Demonstration
To reduce the incidence of postural hypotension in a patient with a spinal cord injury, the nurse should:
a. monitor diastolic blood pressure closely. b. encourage the patient to sit in wheelchair in upright position. c. raise the head of the bed 45 degrees before transfer to a wheelchair. d. encourage adequate intake of fluids to expand fluid volume.
When caring for a client, the nurse identifies and analyzes data to determine nursing diagnoses and collaborative problems. Which of the following is an important role of the nurse when caring for a client with collaborative problems?
A) Identifying factors that place the client at risk B) Resolving health issues through independent nursing measures C) Reporting trends that suggest development of complications D) Managing an emerging problem with the help of the registered nurse