The pt with MS states she is bothered by diplopia (double vision). Which intervention does the nurse expect to implement?
a. consult for corrective lenses
b. teach the pt scanning techniques moving her head from side to side
c. application of an eye patch alternating from eye to eye every few hours
d. prophylactic bilateral patches to both eyes at night
Answer: c. application of an eye patch alternating from eye to eye every few hours
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When negotiating because of a conflict you should:
1. quickly respond with an answer. 2. take what is said personally; after all, this conflict does affect you. 3. respond with criticism. 4. identify the need that the person is expressing.
The nurse admits a patient to the emergency department and recognizes the patient is in diabetic ketoacidosis (DKA) when what manifestations are assessed? (Select all that apply.)
A) Fruity breath B) Edema C) Dehydration D) Agitation E) slow and deep respirations
The nurse is preparing to create a pedigree for the client using the client's family history information. Which should the nurse recognize are benefits to using a genogram? Select all that apply.
1) Easy to fill in the family history. 2) Contains standardized symbols. 3) Allows for a visualization of disease incidence. 4) Provides a visual representation of a family's health patterns. 5) Can predict which generations are more susceptible to family illness.
When teaching a client about short bowel syndrome, it is important for the nurse to know that:
a. intestinal adaptation can eventually greatly improve absorption of nutrients. b. short bowel syndrome involves resection or removal of the colon. c. constipation is a sign of this syndrome. d. dietary fiber can improve stool bulk.