List five things you will do in the care of the person with glaucoma.
What will be an ideal response?
• Monitoring accurate intake and output if the person is on intravenous medication to reduce eye pressure
• Checking vital signs every 2 to 4 hours
• Reporting complaints of eye pain promptly to the nurse
• Keeping the person safe and making sure the call signal and needed items are within reach
• Avoiding strain and exertion that will increase pressure in the eye
• Keeping the patient from stooping or lifting
• Avoiding tight and constrictive clothing for the person, which also increases pressure
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The nurse is writing a plan of care for a patient receiving antimalarial drug therapy. What nursing diagnosis would be appropriate for this patient if common adverse effects were indicated?
A) Disturbed sensory perception (visual) related to central nervous system effects B) Imbalanced nutrition: more than body requirements C) Constipation D) Ineffective breathing pattern
The nurse is caring for the client experiencing hypovolemic shock and metabolic acidosis. Which of the following therapies would the nurse question if planned for this client?
1. Administration of sodium bicarbonate 2. Monitor ECG for conduction problems 3. Monitor daily weights 4. Limit the intake of fluids
A temporary stoppage of peristalsis along with signs and symptoms of a bowel obstruction is called paralytic ______
1. Colitis 2. Ileus 3. Mesenteritis 4. Peritonitis
The nurse is conducting a physical assessment for a child who presents with burns to the lower extremities. The parent states, "I didn't realize the water was so hot."
Which item found in the child's health history causes the nurse to consider physical abuse? 1) The child who states, "My mommy lifted me out of the tub as soon as I cried." 2) Appropriate height and weight for age. 3) Several emergency department visits to treat cuts, bruises, and fractures. 4) Laboratory reports suggest diabetes mellitus.