The nurse is caring for a patient receiving carbachol to treat glaucoma. The patient says he or she has stopped driving at night because he or she just does not see well in the dark. What is the best nursing diagnosis for this patient?
A) Anxiety related to poor vision
B) Grief related to loss of driving privileges
C) Risk for injury related to visual changes
D) Pain related to altered vision
C
Feedback:
This patient is at risk for injury related to visual changes and requires safety teaching to make the home as safe as possible. Nothing indicates the patient is experiencing anxiety, grief, or pain.
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In order to be protected by a Good Samaritan act, the nurse must follow which of the following guidelines Standard Text: Select all that apply
1. Limit actions to those normally considered first aid if possible 2. Perform only actions that he or she knows how to do 3. Offer assistance but do not insist 4. Do not leave the scene until the injured person leaves or another qualified person takes over 5. Do whatever needs to be done to save the injured person's life
Then completing nursing care for a client, the nurse should complete an incident report if which of the following situations occurs during care of this client?
a. Blood samples were sent to the lab and results were reported in 4 hours. b. Diuril 1 g PO was ordered for 1530 and administered at 1600. c. A visitor stayed 2 hours beyond normal visiting hours. d. A client who is diabetic and insulin-dependent receives her roommate's regular diet tray.
The nurse is caring for an older adult client with an ileostomy and hemiplegia secondary to a stroke experienced a few years ago. When changing the client's one-piece appliance, the nurse finds the skin under the skin barrier is ulcerated and erythematous
The client does not empty the pouch until it is completely full because it hurts so much to remove the skin barrier. Which action by the nurse is the priority? 1. Apply a two-piece ostomy appliance. 2. Treat the damaged skin and replace the one-piece pouch. 3. Keep the skin open to air to allow time for healing, and replace the ostomy appliance in a few days. 4. Call the health care provider to report the damaged skin.
A student nurse is reviewing a list of theorists and theories for a test that is coming up in her nursing class. Which of the following conceptual models identifies the family as a structural–functional social system?
A) Family Assessment and Intervention Model B) Friedman Family Assessment Model C) Family Systems Model D) Family Stress Model