A client with glaucoma has the nursing diagnosis disturbed sensory perception: visual. Which of the following interventions would be appropriate for this client?
1. Assess coping mechanisms
2. Turn off lights when leaving the client's room
3. Provide assistance with meals and eating
4. Keep bed rails in the low position
3. Provide assistance with meals and eating
Rationale:
The client with visual disturbances might have difficulty maintaining good nutrition. The nurse should assist the client with meals and eating as necessary. The nurse should not turn out the lights in the room. The bed rails should be kept in the up position for client safety. Assessing coping mechanisms would be appropriate for the nursing diagnosis of anxiety.
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a. Discuss potential risks for other members of her family. b. Assist the client to make a plan for prevention and risk reduction. c. Disclose the information to the medical insurance company. d. Recommend the client complete weekly breast self-examinations. e. Assess the client's response to the test results. f. Encourage support by sharing the results with family members.
The patient with congestive heart failure who is on a diuretic drug shows a weight loss of 6.6 lb. The nurse is aware that the patient has lost ______ L of fluid
ANS:
A 24-year-old female client is diagnosed with otosclerosis. Which teaching is most accurate?
A) Symptoms may be accelerated by pregnancy. B) Medications can interfere with birth control pills. C) Menstrual periods may be longer and more severe. D) Females otosclerosis is linked with infertility.
A patient asks the nurse what type of medications would be most effective for treating seasonal and perennial rhinitis. Which response by the nurse is correct?
a. Pseudoephedrine (Sudafed) b. Fluticasone propionate (Fluticasone) c. Loratadine (Claritin) d. Intranasal cromolyn sodium (Atrovent)