In caring for a patient with contact lenses, the nurse should be aware that:
a. rigid gas-permeable (RGP) lenses are no longer used.
b. soft contact lenses are smaller than the cornea.
c. all lenses must be removed periodically.
d. extended wear lenses can be used for only 6 nights.
C
It is important to remember that all lenses must be removed periodically to prevent infection and corneal damage, and that proper cleaning is necessary before a lens is reinserted. Two basic types of contact lenses are used today: RGP and soft. Rigid contact lenses are made of firm, durable plastic and are smaller than the cornea. Soft contact lenses are made of a flexible hydrogel plastic and cover the entire cornea and a small rim of the sclera. Although the limit for extended wear lenses is usually 6 nights, certain soft lenses have been approved for continuous wear up to 30 nights.
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Values clarification can assist the client to clarify his or her own values to facilitate effective decision making. Which of the following nursing activities is incorporated into this intervention?
a. Avoid the use of open-ended questions. b. Use multiple sessions to cross-examine the client to ensure he or she is clear about personal values. c. Use appropriate questions to assist the client in reflecting on the situation and what is personally important. d. Encourage members of the health care team to relate how they would make the decision.
A nurse is caring for a Haitian-American patient. The nurse demonstrates cultural sensitivity by:
a. discarding any leaves the patient may have brought with them. b. assigning the patient to a room with any Haitian-American patient. c. instructing the patient to ride in a wheelchair when discharged. d. allowing the patient to walk out of the hospital when discharged.
Despite adherence to oral iron therapy of 2 weeks, your elderly patient with IDA demonstrates a drop in his hemoglobin from 8.4 to 7.4. He is complaining of fatigue, dyspnea, and heart racing. You would change his therapy by which of the following
A. Schedule patient for outpatient parenteral iron infusion B. Switch to a different form of oral therapy C. Schedule patient for outpatient blood transfusion D. Make no changes until evaluated by GI specialist
A nurse manager conducts an in-service on techniques to facilitate multicultural communication. Which technique suggested by one of the nurses would indicate to the nurse manager that further clarification is needed?
a. Avoiding the use of slang terms b. Recognizing that educational backgrounds in nursing may be vastly different c. Providing your coworker with resources that may help to reinforce verbal communication d. Avoiding using "I" statements when offering constructive criticism