A patient presents to a walk-in clinic with a small piece of rock deeply embedded in his right eye. What should the nurse do first?
a. Flush the eye with a continuous stream of warm water.
b. Refer the patient to the emergency de-partment.
c. Irrigate the eye with cool water.
d. Cover both eyes with a dressing.
D
If a foreign body is sticking out of the eye, no attempt to remove it should be made. Both eyes should be patched to prevent further eye movement, and then the patient should be referred to the emergency department or to an ophthalmologist. For foreign bodies not deeply embedded in the tissues of the eye, irrigation can easily remove them. Irrigation with clear, lukewarm water or sterile water or saline is used to remove a foreign body sticking to the cornea.
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A nurse is caring for a patient who has recently immigrated to the United States from Mexico. When assessing the patient's culture, the nurse would assess:
A) Support systems B) Marital status C) Age D) Communication style
The nurse assesses which of the following families as being future-oriented?
A) the family that sacrifices family vacations to save for college expenses B) the family that defers major decision making to a family elder, such as a grandparent C) the family that makes decisions based on ancestral patterns and beliefs D) the family that provides all the latest electronics for family entertainment
A young client weighing 33 lb. is prescribed to receive valproic acid (Depakene) 10 mg/kg/day in 4 divided doses. The medication available is 100 mg/mL
How much medication will the nurse provide the client for each dose? Round the answer to the nearest hundredth.
Patients should be warned about the overuse of topical wintergreen oil to treat muscle strains, as overapplication can lead to:
1. Respiratory depression 2. Cardiac disturbance 3. Salicylates poisoning 4. Life-threatening rashes