The nurse is caring for a client who has been in a coma for several days. Appropriate care for the client's eyes includes:(Select all that apply) Standard Text: Select all that apply

1. Clean the eyes with saline solution and cotton balls
2. Instill artificial tears into lower eyelids as ordered
3. Monitor eyes for exudate
4. Eyes require no special hygiene
5. Administer moist compresses every 2-4 hours


1,2,3,5
Rationale: Cleaning the eyes with saline and cotton balls, wiping from inner to outer canthus prevents debris from being washed into the nasolacrimal duct

Nursing

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A nurse notes a patient has abnormal vital signs. What action by the nurse is best?

a. Document the findings. b. Notify the provider. c. Compare with prior readings. d. Retake the vital signs.

Nursing

The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible?

a. If cardiopulmonary arrest has existed for no more 2 minutes b. If cardiopulmonary arrest has existed for no more 3 minutes c. If cardiopulmonary arrest has existed for no more 4 minutes d. If cardiopulmonary arrest has existed for no more 5 minutes

Nursing

A client is prescribed a calcium channel blocker for control of hypertension is now prescribed a beta blocker to control a fast ventricular rate. What should the nurse include in instructions regarding the medications?

1. Eat a high-fiber, low-carbohydrate diet. 2. Do not take this medication with grapefruit juice. 3. Maintain a daily exercise regimen. 4. Report irregular heart rate or shortness of breath to the health care provider.

Nursing

A research team is writing a proposal for a quantitative study that will test the efficacy of an online prenatal education module. The team recognizes the need to control for extraneous variables

Which of the following strategies will best accomplish this goal? A) Pairing each member of the experimental group with a member of the control group who shares similar characteristics B) Utilizing multiple control groups C) Randomly assigning participants to either the experimental group or the control group D) Performing the assignment to groups after all participants have completed a pretest

Nursing