Which assessment is most important for the nurse to perform before instilling latanoprost (Xalatan) into a patient's eyes?
a. Measure the patient's temperature.
b. Measure the patient's intraocular pressure.
c. Check the cornea for abrasions or open areas.
d. Assess heart rate and rhythm for 1 full minute.
C
Latanoprost is a prostaglandin agonist. These drugs should not be applied unless the cornea is completely intact. Measuring intraocular pressure is not necessary when a diagnosis of glaucoma has been established. Prostaglandin agonists, even if systemically absorbed, do not affect body temperature, or heart rate and rhythm.
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Giger and Davidhizar (2012) created an assessment model to guide nurses in exploring cultural phenomena that might affect nursing care
When using this model in the care of a patient who has had a transurethral prostate resection (TUPR), what area of care would be influenced most directly? A) Transferring the patient from a stretcher to a bed B) Documenting the patient's vital signs and level of consciousness C) Administering a scheduled dose of acetaminophen D) Explaining the rationale for continuous bladder irrigation (CBI)
As part of the physical examination portion of assessment, Leopold's maneuvers are used to help identify all of the following except the:
1. sex of the fetus. 2. number of fetuses. 3. fetal lie and attitude. 4. degree of the presenting part's descent into the pelvis.
In the aftermath of Hurricane Katrina, many Americans contributed to charities and crisis aid to help the victims. This is an example of what type of American value?
A) Equality B) Humanitarian mores C) Moral orientation D) Activity and work
The nurse is caring for a preschool-age child who has been hospitalized with asthma. In working with this child, what should the nurse do to encourage the child to use the nebulizer and to decrease the child's fear?
A) Allow the child to touch and play with the nebulizer for a few minutes before the treatment B) Show the child how to use the nebulizer and tell him how much easier it is to breathe afterward C) Explain that he will feel better after the treatment and allow him to ask questions D) Use a poster or brochure to illustrate to the child how the machine works