The client receives eyedrops as treatment for glaucoma. The client calls the clinic one day and tells the nurse that his eye color is changing. What is the best response by the nurse?
1. "This is an expected side effect of the medication."
2. "This is unusual; please come in for an evaluation."
3. "Are you sure that your eyes have changed color?"
4. "What do you mean that your eyes have changed color?"
1
Rationale 1: The iris may change color with the medication; this is expected.
Rationale 2: It is not unusual for the eyes to change color; this is an expected reaction.
Rationale 3: The client has said his eye color is changing; it is condescending to ask him if he is sure.
Rationale 4: Asking the client what he means by saying his eyes have changed color does not make sense; he means his eyes have changed color.
Global Rationale: The iris may change color with the medication; this is expected. The client has said his eye color is changing; it is condescending to ask him if he is sure. Asking the client what he means by saying his eyes have changed color does not make sense; he means his eyes have changed color.
You might also like to view...
When large amounts of ADH are released, the patient's sodium levels will be
a. increased. c. unaffected. b. decreased. d. altered inversely with potassium.
The hospice nurse planning care for four culturally diverse clients, each of whom has terminal
cancer, should anticipate that the client who will wish to engage in end-of-life planning (such as making a will, a living will, and funeral arrangements) will be the client who is a. a single Native American who had worked as a forest ranger. b. a female immigrant from China who is an acupuncturist. c. a refugee laborer from a war-torn Western African country. d. a fourth-generation New England native who is an accountant.
Approximately what percent of neonatal mortalities during the first 24 hours of life are attributed to infection?
a. 30 percent c. 65 percent b. 50 percent d. 80 percent
A nurse is caring for a client experiencing spinal shock after a spinal cord injury. What clinical manifestation would indicate the resolution of spinal shock?
A. The return of reflex activity B. Normalization of the pupillary reflex C. Return of bowel and bladder continence D. Tingling in the extremities below the lesion