How should the nurse provide written discharge instructions for a patient with macular degeneration?
a. Write the instructions in bold print.
b. Adjust the table and light to assist the patient to use peripheral vision to read.
c. Place written document directly in front of the patient to read.
d. Read the document to the patient.
ANS: B
Assist the patient to use peripheral vision because central vision is lost in macular degeneration.
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A patient admitted to telemetry with chest pain is a business executive in a large corporation who has indicated he consumes 7 to 8 oz of scotch every evening. Which of the following is the best indicator of the patient's ability to cope?
A) Maladaptive stress management B) Inability to satisfy basic needs C) Behaving in a realistic manner D) Engaging in rewarding behavior
The nurse is performing an otoscopic examination in a child and notes the child expressing pain as the pinna is manipulated to better examine the tympanic membrane
Which of the following findings is consistent with the most likely condition? Standard Text: Select all that apply. 1. Erythema is noted along the child's ear canal. 2. The tympanic membrane is in a full position, amber-colored, and immobile. 3. The external ear is abnormally protruding forward. 4. Edema is noted within the child's ear canal. 5. Light yellow drainage is noted within the ear canal.
An HIV-positive patient is diagnosed with Kaposi sarcoma (KS). The patient asks why highly active antiretroviral therapy (HAART) is being prescribed for him. Which response by the nurse is most accurate?
a. HAART will help stop the progression of your skin lesions. b. HAART will prevent you from getting AIDS. c. HAART will treat any current opportunis-tic infections you have. d. HAART will eliminate your HIV.
The best method to effectively combat iatrogenic malnutrition in the long term is by:
1. Estimating the client's energy expenditure 2. Carefully recording the patient's weight at regular intervals 3. Ordering a complete nutritional supplement for poor eaters 4. Encouraging clients to clean their plates