An appropriate nursing intervention for a patient with meningitis who is exhibiting photophobia would include which of the following?
A) Provide increased stimulation to arouse the patient
B) Dim the lights in the room
C) Place the patient supine to decrease intracranial pressure
D) Prepare for an emergency craniotomy
Ans: B
Feedback: A patient exhibiting photophobia has an extreme sensitivity to light. An appropriate nursing measure is dimming the light in the room. There should be decreased stimulation when caring for a patient with meningitis. Placing the patient in a supine position would cause intracranial pressure to increase, which may already be elevated from the meningitis. There is no need for a craniotomy at this point.
You might also like to view...
The nurse uses telecommunications equipment and communication networks to transfer a request for medical supplies to a different location. This is an example of:
a. the computerized client record c. proxemics b. Internet health continuum d. telehealth
A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. The nurse's best response is:
a. "That is a great idea. Alternative therapies can be very helpful." b. "You will feel better sooner if you include phenylalanine." c. "Did you know that St. John's wort can raise your blood pressure dramatically?" d. "You need to speak to your physician about that."
A nurse manager is planning a performance appraisal of an employee who has a number of performance deficiencies. What is the best approach to the performance appraisal of this employee?
A) Tell the employee that he or she is not performing well and ask the employee where improvement is needed. B) Prepare a list of the employee's deficiencies and give him or her time to look it over before asking for a response. C) Recognize the employee's strengths, focus on one or two key deficiencies, and create a long-term coaching plan. D) Tell the employee that he or she is liked as a person but is not meeting the requirements for the job and will need to brush up on skills during the next year.
The nurse is explaining to a new prenatal patient that the certified nurse–midwife will perform clinical pelvimetry as a part of the pelvic exam
The nurse knows that teaching has been successful when the patient states, "The certified nurse–midwife will perform this examination because: 1. "It will help us know how big a baby I can deliver vaginally." 2. "Doing this exam is a part of prenatal care at this clinic." 3. "My sister had both of her babies by cesarean." 4. "I am pregnant with my first child."