Which should be the most significant nursing intervention in caring for a child who has just returned from eye surgery to prevent increasing intraocular pressure?
a. Monitor for hypertension, which is a symptom of increased intraocular pressure.
b. Prevent coughing and vomiting.
c. Lower the head of the bed slightly and place the eye in a dependent position.
d. Avoid use of steroids after the surgery.
B
Preventing coughing, straining, vomiting, and touching the operative site are all measures directed toward avoiding increased intraocular pressure. Hypertension is not a symptom of increased intraocular pressure. The head of the bed should be raised slightly and the eye placed in a position that is not dependent to prevent increasing intraocular pressure. Steroids, antibiotics, and mydriatics may be used after the surgery.
You might also like to view...
The nurse is suctioning the adult client's airway using a closed system. Which suction pressure is appropriate for the nurse to use?
1. Up to 60 mmHg 2. Up to 80 mmHg 3. Up to 100 mmHg 4. Up to 120 mmHg
A client with peripheral neuropathy who is prescribed vitamin B12 injections asks the nurse how this will help the numbness in his legs and feet. Which response by the nurse is appropriate?
A) "It will make you sleep better." B) "It provides a supplement of a vitamin known to be low in people with numbness in their feet and legs." C) "It will give you more energy to exercise." D) "It will cause you to want to eat a better diet."
The nurse giving medications to a pediatric patient notes that an order for a medication is considerably larger than the usual dose
She looks up the medication in a pharmacology book and finds she is correct about the dosage. Which action should the nurse take? a. Documenting the findings in the chart after giving the medication b. Calling the nursing supervisor and ask what to do next c. Calling the pharmacist to obtain the usual dosage d. Notifying the physician of her findings before giving the medication
A physician has just informed a client and her husband of the client's colon cancer. What can be an initial feeling about a client's diagnosis?
a. shock c. denial b. remorse d. anger