The nurse prepares to remove the patient's soft contact lenses. Which intervention should the nurse implement to remove the lenses without traumatizing the cornea?

a. Irrigate the eye with 50 mL of a sterile saline solution.
b. Pull the lid down and instruct the patient to blink.
c. Pinch the sides of the lens together and pop it out.
d. Move the lens to the sclera and compress the lens gently.


D
To remove a soft contact lens from a patient's eye, the nurse moves the lens to the sclera and gently compresses it. This maneuver disrupts the surface tension holding the lens to the eye, al-lowing the nurse to lift the lens off the eye without traumatizing the cornea. The nurse avoids flooding the eye with irrigation solution because it increases the risk of losing the lens. The nurse asks the patient to blink to eject a hard lens. The nurse avoids pinching the lens since that would risk corneal trauma.

Nursing

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A nurse is working with a minority group that has a high incidence of cardiovascular disease, including hypertension and stroke. When participating in a community health fair with this group, what action by the nurse will be most effective?

A. Educate the participants about weight loss and a low-sodium, low-fat diet. B. Explain the genetic basis for the high incidence of cardiovascular disease in the group. C. Help participants make lifestyle changes that are culturally congruent. D. Present statistics on the mortality and morbidity of cardiovascular disease.

Nursing

A nurse provides care in a large, urban hospital that serves a clientele of many different ethnicities and racial backgrounds. Which of the following statements is accurate regarding a patient's integumentary health?

A) Patients with darker skin have skin that is generally more resilient than that of lighter-skinned patients. B) Patients with darker skin are largely immune to ultraviolet damage but have an increased risk of skin infections. C) Patients with darker skin and patients with lighter skin have similar risks of most skin diseases. D) Patients with darker skin have higher incidence of most skin disorders, but these are usually more difficult to diagnose.

Nursing

A frail, elderly man is admitted to the hospital after a fall at home resulted in a left hip fracture. After surgery, he is to begin ambulating with a walker but must avoid weight bearing on his left lower leg

What is the best intervention to help him use his walker? a. Aerobic exercise with deep breathing b. Quadriceps and gluteal repetitions c. Isometric toning of lower legs d. Arm resistance training

Nursing

The white blood cell count (WBC) of a client with systemic lupus erythematousus (SLE) shows a shift to the left. Which of the following is a priority nursing diagnosis for this client?

1. Ineffective Health Maintenance 2. Impaired Skin Integrity 3. Ineffective Coping 4. Ineffective Protection

Nursing