Which of the following nursing interventions should be included during the assessment of a client with an eye disorder?
A) Check the extraocular muscles by instructing the client to keep his or her head still when following an object.
B) Examine the retina with a direct ophthalmoscope.
C) Use a tonometer to indent or flatten the surface of the eye.
D) Instruct the client to stare at the central fixation spot on an Amsler grid and report if he or she sees any distortion of the squares.
A
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When preschoolers are hospitalized, and parent cannot stay with them, when would be an inappropriate time for the parents to leave the hospital?
1. After the child has dinner 2. When the parents are tired 3. After the child has fallen asleep 4. When visiting hours have ended
The nurse is planning care for a number of clients who have been victims of a hurricane. Which is the priority nursing diagnosis to include in the plan of care for the victims?
A) Chronic Confusion B) Decreased Cardiac Output C) Risk for Post-Trauma Syndrome D) Fatigue
The nurse prepares to discharge a client with deep venous thrombosis. What should the nurse include in the teaching plan?
1. Sitting instead of standing relieves pressure on the veins. 2. Thromboembolism device (TED) hose should be worn to prevent venous stasis. 3. Bedrest should be maintained to prevent pulmonary emboli. 4. Venous circulation is improved by decreasing activity.
A nurse is having a discussion with another nurse regarding the narrow therapeutic range of a particular drug. A patient has been taking this drug for 1 week. What is the most significant im-plication for the nurse who is caring for this patient?
a. The drug will be ineffective, because it will have difficulty reaching the minimum effective concentration. b. The patient's body will maintain therapeutic levels easily. c. The patient's kidney function may be compromised. d. The patient should be monitored carefully for toxicity.