The nurse is caring for a patient who experienced a blast injury to the eye. Which intervention would be appropriate?
1. Flush the eye with eyewash.
2. Encourage the patient to rub the eye to get out specks of dust.
3. Apply a warm compress to the eye.
4. Remove debris lodged in the eye.
Correct Answer: 1
The nurse should flush the patient's eye with eyewash. The patient should be cautioned not to rub the eye that has specks of dust or debris in it. A cool, not warm, compress should be applied to the eye. Debris lodged in the eye should be stabilized, not removed without medical attention.
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After the nurse completes a patient's initial assessment and develops a plan of care:
a. continual reassessment of the patient is required. b. no changes to the care interventions should be allowed. c. reassessment should be done randomly. d. the nursing process becomes static to maintain the course of the cure.
How does the student nurse best prepare for the clinical experience?
1. Practice and review procedure for performing skills 2. Review class notes for the past week 3. Walk through the clinical facility 4. Show up for clinical 1 hour early
Which are true regarding communicating while using eye contact? (Select all that apply.)
a. Eye contact is responsible for much communication. b. Eye contact is responsible for much miscommunication. c. Making eye contact generally indicates an intention to interact. d. Eye contact always results in a positive outcome. e. Extended eye contact can imply aggression. f. Extended eye contact can lead to heightened anxiety.
The nurse is working with a severely depressed client who has very low self-esteem and is distrustful of unit staff. The client is facing role transition from wife to wife and mother. The nurse's priority is to:
A. establish trust with the client. B. teach the client effective mothering skills. C. identify positive traits the client possesses. D. teach about the client the importance of her medication.