The patient has been brought to the emergency department following a motor vehicle accident. The patient is unresponsive. His driver's license states that he needs glasses to operate a motor vehicle, but no glasses were brought in with the patient
The nurse should a. Assume that the glasses were lost during the accident.
b. Stand to the side of the patient's eye and observe the cornea.
c. Assume that the patient was not wearing glasses while driving.
d. Assume that the ambulance personnel have them.
B
An important aspect of an eye examination is to determine if the patient wears contact lenses, especially in patients who are unresponsive. To determine whether a contact lens is present, stand to the side of the patient's eye and observe the cornea for the presence of a soft or rigid lens. It is also important to observe the sclera to detect the presence of a lens that has shifted off the cornea. An undetected lens causes severe corneal injury when left in place too long. Never assume that glasses were lost or were not worn. Contacting ambulance personnel takes time. Examine the eyes.
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While assessing risk factors in adolescents, the nurse recognizes that dental issues may be related to: Standard Text: Select all that apply
1. Fluoridated water. 2. Failure to use a mouth guard when playing physical sports. 3. Adolescent obesity. 4. Diagnosis of bulimia.
A woman is experiencing a long and painful labor and is becoming increasingly intolerant of the pain. She has been receiving frequent, small doses of IV hydromorphone (Dilaudid)
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A client is prescribed to ambulate with a walker down the hallway three times a day. The nurse realizes that the person responsible for completing this order would be the:
a. nursing assistant. c. physical therapist. b. client. d. nurse.
Malpractice is the failure to act as another prudent nurse with the same knowledge and education would act under similar circumstances. Which of the following indicates malpractice?
a. Failure to allow a patient to leave the unit for a cigarette b. Failure to provide a specific pain medication requested by the patient. c. Failure to act when a patient refuses to be turned and develops pressure ulcers d. Failure to notify a health care provider of a 2-lb. weight gain in a heart failure patient