A nurse is teaching the client self-care for a hordeolum. (Select all that apply.)
A. Massage the area over the stye.
B. Apply the prescribed antibiotic ointment.
C. Place an eye patch over the affected eye.
D. Apply warm compresses four times daily.
E. Lance the stye using a sterile needle.
F. Irrigate the eye with warm, sterile, normal saline.
B, D
Rationale: Using a prescribed antibiotic and warm compresses are the accepted interventions for a hordeolum. Clients never lance their own styes, due to risk for harm. Patches do not help. Massage increases the risk of the bacteria getting into the systemic circulation, so it is contrain-dicated. Warm irrigation is not recommended for the eye; it may be harmful and does not help the problem.
You might also like to view...
One of a manager's daily management tasks is to
A) evaluate the quality of patient care. B) write formal evaluations. C) develop policies and procedures. D) accept verbal orders.
When assessing a patient, which of the following would be involved? Select all that apply
A) Obtain a medication history. B) Obtain vital signs. C) Formulate nursing diagnoses. D) Ask about chief complaint. E) Determine therapeutic response.
An older patient recovering from a total hip replacement is demonstrating edema and pain in the operative limb. Which medication should the nurse prepare to administer to the patient?
1. Penicillin 2. Furosemide 3. Low-dose heparin 4. High-dose heparin
Blood work done to identify risk factors for coronary heart disease reveals a client has elevated cholesterol and low density lipid (LDL) levels. The nurse should make the following suggestions for changes in dietary habits:
A) Switch from whole milk to skim milk. B) Eliminate all red meat from the diet. C) Eliminate all simple sugars from the diet. D) Avoid eating eggs or any foods prepared with eggs.