A patient arrives in the emergency department complaining of eye itching and pain after sleeping with contact lenses in place. To facilitate further examination of the eye, fluorescein angiography is ordered. The nurse will teach the patient to
a. hold a card and fixate on the center dot.
b. report any burning or pain at the IV site.
c. remain still while the cornea is anesthetized.
d. let the examiner know when images shown appear clear.
ANS: B
Fluorescein angiography involves injecting IV dye. If extravasation occurs, fluorescein is toxic to the tissues. The patient should be instructed to report any signs of extravasation such as pain or burning. The nurse should closely monitor the IV site as well. The cornea is anesthetized during ultrasonography. Refractometry involves measuring visual acuity and asking the patient to choose lenses that are the sharpest; it is a painless test. The Amsler grid test involves using a hand held card with grid lines. The patient fixates on the center dot and records any abnormalities of the grid lines.
You might also like to view...
A patient needs to make several challenging life changes to cope with a serious chronic illness. Instead of teaching the patient, the nurse spends time visiting with the patient and inquiring about family life, work, and hobbies
When a new nurse asks the reason for "wasting so much time" with the patient, the first nurse explains, a. "All patients like to feel important and that you are interested in them." b. "I like to establish rapport first before just jumping in and teaching." c. "Knowing more about the patient informs me about possible motivators." d. "When patients view you as friendly, they are more likely to respond."
Dysfunctional behaviors indicate dysfunction in the group. What can an effective LPN manager do when dysfunction occurs?
1. Give the team his or her time and support. 2. Do the work himself or herself so that it gets done. 3. Go to the administrator and report on specific people who are showing these behaviors. 4. Require that the team ignore these behaviors and continue to move ahead.
The nurse is caring for a patient who reports being able to fall asleep but has difficulty staying asleep. The nurse will contact the provider to obtain an order for which medication?
a. Butabarbital (Butisol) b. Flurazepam (Dalmane) c. Secobarbital (Seconal) d. Temazepam (Restoril)
Signs of hypovolemia in the newborn include all of the following, EXCEPT:
A) persistent pallor. B) weak central pulses. C) persistent acrocyanosis. D) persistent bradycardia.