Care of the patient with glaucoma includes all of the following except
A. monitoring intake and output.
B. avoiding tight and constrictive clothing.
C. keeping the patient from stooping or lifting.
D. keeping the patient in bed to avoid exertion.
Answer: D
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A nurse is caring for a client on the medical stepdown unit. The following data are related to this client:
Subjective Information Laboratory Analysis Physical Assessment Shortness of breath for 20 minutes Feels frightened "Can't catch my breath" pH: 7.12 PaCO2: 28 mm Hg PaO2: 58 mm Hg SaO2: 88% Pulse: 120 beats/min Respiratory rate: 34 breaths/min Blood pressure 158/92 mm Hg Lungs have crackles What action by the nurse is most appropriate? a. Call respiratory therapy for a breathing treatment. b. Facilitate a STAT pulmonary angiography. c. Prepare for immediate endotracheal intubation. d. Prepare to administer intravenous anticoagulants.
A patient is admitted to the telemetry unit. Which nursing assessment has the highest priority for further investigation?
1. The patient complains of intermittent chest pain during mild exercise. 2. The patient has a history of urinary retention. 3. The patient complains of fatigue and dyspnea after walking up several flights of stairs. 4. The patient's father has a history of smoking.
The Intervention Model identifies 17 public health interventions. A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which of the following interventions?
1. Screening 2. Referral and follow-up 3. Surveillance 4. Health teaching
Which client should be most closely monitored for adverse effects directly related to receiving penicillin G?
1. A client who has osteomyelitis and will need IV medication for several months 2. A client who had a myocardial infarction 2 days ago and now has a fever of 102°F 3. A client who is postop from corneal transplant 4. A client who has diabetes and is on dialysis