The client is a 28-year-old man newly diagnosed with type 1 diabetes mellitus. He wears glasses for myopia and asks the nurse how frequently he should see his ophthalmologist now. What is the nurse's best answer?
A. "At your age, you do not need to change your usual patterns for visiting the oph-thalmologist."
B. "See your ophthalmologist whenever you have a vision problem and yearly after you are 40 years old."
C. "Your vision will change more quickly now, and you should see the ophthalmol-ogist whenever you find that your glasses are not strong enough to allow you to read comfortably."
D. "The disease increases your risk for cataracts, glaucoma, and retinal blood vessel changes, so you should see the ophthalmologist yearly, even when you do not have a new vision problem."
D
Diabetic retinopathy is a leading cause of blindness in North America. All clients with diabetes, regardless of age, should be examined by an ophthalmologist (rather than an optometrist or an optician) at diagnosis and at least yearly thereafter.
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A. "Whenever the client asks about dying, change the subject." B. "Tell the client the truth in as gentle a way as possible." C. "Tell the client that she will get better eventually." D. "Ask the client if she is afraid to die."
What action can nurses take to be fiscally responsible?
a. Give patients their discharge instructions and let them determine if the cost of their medications fit into their budget. b. Allow nurses to work on the unit when the census drops. c. Use proper hand hygiene. d. Document minimally on each patient.