The patient, age 62, has had insulin-dependent diabetes mellitus for 20 years and has symptoms of proliferate diabetic retinopathy. He is scheduled for his first panretinal photocoagulation treatment
The nurse explains to him that the purpose of this procedure is to a. destroy the retina, which is not getting enough blood supply.
b. reduce edema in the macula of the eye.
c. vaporize fatty deposits that appear in the retina.
d. destroy new blood vessels, seal leaking vessels, and help prevent retinal edema.
D
Photocoagulation is useful in diabetic retinopathy to cauterize hemorrhaging vessels.
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Directions: Use the following weight-based heparin protocol for the following problems
1. Bolus heparin at 80 units/kg 2. Begin intravenous infusion of heparin at 18 units/kg/hr using 25,000 units of heparin in 250 mL of 0.45% NaCl for 100 units per mL 3. Adjust intravenous heparin daily on the basis of APTT results. - APTT less than 35 sec. Rebolus with 80 units/kg and increase rate by 4 units/kg/hr - APTT 35-45 sec. Rebolus with 40 units/kg and increase rate by 2 units/kg/hr - APTT 46-70 sec. No change - APTT 71-90 sec. Decrease rate by 2 units/kg/hr - APTT greater than 90 sec. Stop heparin infusion for 1 hour and decrease rate by 3 units/kg/hr A client weighs 81 kg. Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate up or down on the basis of the APTT results. APTT is reported as 43. The IV pump is calibrated in tenths of a milliliter.
The nurse is preparing to interview the older adult client and perform a head-to-toe assessment. Which of the following actions by the nurse indicate the nurse requires further education? Standard Text: Select all that apply
1. The nurse has requested that the client put on a cotton gown prior to the interview. 2. The nurse seats the client so that the light from the window faces the client with the nurse's back to the window. 3. The nurse addresses the client by her first name. 4. The nurse maintains eye contact; both nurse and client are seated. 5. During the interview, the nurse asks if the client is currently experiencing any pain or anxiety before proceeding further.
The nurse is assessing a patient recovering from surgery for abdominal compartment syndrome. Which of the following assessment findings could indicate a life- threatening condition may be developing in this patient?
1. blood pressure 146/88 mm Hg 2. complaints of chest pain and dyspnea 3. poor skin turgor 4. temperature 100.7 degrees Fahrenheit
The patient history plays an important role in assessing the patient's nutritional status. Significant laboratory and clinical findings in the patient with cardiovascular disease include
a. low levels of high-density lipoprotein (HDL) cholesterol and transferrin. b. elevated low-density lipoprotein (LDL) cholesterol and decreased subcutaneous fat. c. elevated sodium levels and a soft, fatty liver on palpation. d. normal triglyceride levels and the presence of S3 on auscultation.