The nurse is caring for a client who has been in a coma for several days. Appropriate care for the client's eyes includes: Standard Text: Select all that apply
1. Clean the eyes with saline solution and cotton balls.
2. Instill artificial tears into lower eyelids as ordered.
3. Monitor eyes for exudate.
4. Eyes require no special hygiene.
5. Administer moist compresses every 2–4 hours.
1,2,3,5
Rationale: Cleaning the eyes with saline and cotton balls, wiping from inner to outer canthus, prevents debris from being washed into the nasolacrimal duct.
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Seeking medical attention when any cancer warning signs occur is frequently delayed because of
a. difficulty accessing a physician or getting a referral consult. b. lack of knowledge of the seven warning signs of cancer. c. fear of the possible diagnosis of cancer and hoping signs will go away. d. self-examination being complex and difficult to perform.
Which action by the nurse is likely to be helpful in blocking out extraneous noises while auscultating with a stethoscope?
a. Place the stethoscope on the patient's clothing to avoid contact with the skin which may cause chilling and shivering. b. Remove dangling necklaces or bracelets that can move during the exam and cause noises that can interfere with the assessment. c. Shave the area to be auscultated if there is a large quantity of hair. d. Keep your eyes open to help you isolate the sound.
A nurse is conducting a head-to-toe assessment of a middle-aged female patient. The nurse has palpated the breasts of a patient and believes that a mass is palpable in one of her breasts. How should the nurse best document this assessment finding?
A) "Medium-sized mass palpable in the medial portion of the left breast." B) "Malignant mass palpable in the upper left lobe of the patient's left breast." C) "One-centimeter mass palpable 2 cm from nipple at the two o'clock position." D) "Mass palpable in the subcutaneous tissue of patient's left breast, approximately 4 cm from sternum."
Select the correct statement(s) regarding the benefits of statin therapy. You may select more than one answer
a. Statins reduce the risk of stroke. b. There is no difference in overall mortality for persons given statin drugs. c. Statins reduce the risk of mortality only in patients without a history of heart disease. d. Statins reduce the risk of coronary events in persons with normal LDL levels. e. Persons with diabetes benefit from the use of statins.