The nurse is creating a plan of care for a patient with glaucoma. Which nursing diagnosis will the nurse include in the care plan to address a safety complication of the sensory deficit?

a. Body image disturbance
b. Social isolation
c. Risk for falls
d. Fear


ANS: C
A visual disturbance poses great risk for injury due to falling from impaired depth perception and inability to see obstacles. Body image disturbance, social isolation, and fear are all valid nursing diagnoses that apply to a patient with vision deficit; however, they do not address the greatest risk for injury.

Nursing

You might also like to view...

Which nutritional deficit is associated with dementia?

1) Vitamin A 2) Vitamin B 3) Niacin 4) Calcium

Nursing

Which ethical principle is applied when the nurse acts to safeguard the patient and the public by reporting poor nursing practice?

a. Autonomy c. Justice b. Fidelity d. Veracity

Nursing

The nurse is caring for a child who has a long leg cast. The child complains of increasing pain in the toes of the casted foot. Which initial action by the nurse is the most appropriate?

1. Call the healthcare provider to report increasing pain. 2. Administer pain medication. 3. Reposition the child in bed. 4. Check to see if the cast is too tight.

Nursing

A client with terminal cardiovascular disease shouts at everyone who comes into the room. The visitors express to the nurse that they are hurt and upset. What is the best advice to the visitors by the nurse?

A) Do not argue with the client. B) Answer the client's questions honestly. C) Listen to what the client is saying. D) Try to assist with the client's wishes despite the anger.

Nursing