How should a nurse intervene for a patient with a perforation of the right eye? (Place the interventions in the appropriate sequence.) (Separate the letters with a comma and space: A, B, C, D.)

A. Cover the right eye with an eye shield.
B. Place the patient in a Fowler position.
C. Clean around the right eye.
D. Cover the left eye with a light occlusive dressing.
E. Darken the room.


B, C, A, D, E
The Fowler position will decrease the risk of loss of more fluid from the eye. The area around the eye should be cleaned and the eye covered with an eye shield. The left eye should be covered to prevent sympathetic movement in the right eye. The room should be darkened to reduce pupillary response to light.

Nursing

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The independent variable in the research question, "What is the effect of noise levels on postoperative pain and blood pressure fluctuations in ICU patients?" is which of the following?

A) Blood pressure B) ICU patients C) Noise levels D) Postoperative pain

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Which terminology serves as a resource to represent domain knowledge of interest and thus facilitates data collection, processing, and aggregation using computer processing?

a. Ontology b. Classification c. Reference terminology d. Nomenclature

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During a home visit, the nurse determines that a toddler has a difficult temperament. What did the nurse observe in this toddler? (Select all that apply.)

A) Rhythmic B) Withdrawing C) Intense mood D) Negative mood E) Minimal adaptability

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During discussion of family, the client speaks about an adult son who is a practicing homosexual. The client expresses concern about this son, stating: "I am so worried about him and I know he is going to hell

" What is the most important fact for the nurse to consider in formulating a response to this client's concern? A) Normal sexuality is described as whatever behaviors give pleasure and satisfaction to those adults involved. B) Sexual development is genetically determined, and not affected by environment. C) What is considered normal sexual expression varies among cultures and religions. D) Since alternative lifestyles are now so well accepted in society, this parent should not feel so much concern.

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