The client, who has cataracts in both eyes, asks why surgery is being done first on only the eye with the poorer vision. What is the nurse's best answer?
A. "Insurance reimbursement dictates the timing of the surgeries."
B. "The eye with the poorer vision is at greatest risk for permanent damage if surgery is delayed."
C. "If the eye with the best vision has surgery first, the intraocular pressure in the poorer eye could increase to the extent that permanent damage results."
D. "The eye with the poorer vision undergoes surgery first so that if a complication arises in that eye, you will still have some vision in the better eye."
D
The eye with the better sight is left alone, until the outcome of the first surgery is known, to re-duce the chance that the client will lose the sight in both eyes if there are complications from or during the surgery.
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Nurses are most likely to find research results in:
A) Poster sessions B) Journal articles C) Textbooks D) Dissertations
An elderly Native American client is recovering from an automobile accident that killed his spouse. The client has resisted attempts to discuss feelings about the loss. What should the nurse do?
1. Call the hospital chaplain to visit the client. 2. Notify Social Services. 3. Notify the physician. 4. Realize that the Native American prefers to grieve in private.
Your supervisor asks you to identify the correct order of occurrence in the cultural competence continuum. Which response would indicate that you understand?
a. Cultural blindness, incapacity, destructive-ness, pre-competence, competence, profi-ciency b. Cultural destructiveness, blindness, incapacity, pre-competence, proficiency, competence c. Cultural destructiveness, incapacity, blind-ness, pre-competence, competence, profi-ciency d. Cultural destructiveness, blindness, profi-ciency, competence, pre-competence, inca-pacity
The electrical activity of the client's heart is being continuously monitored while the client is on the coronary care unit. Suddenly the nurse finds that the client is experiencing ventricular fibrilla-tion. The nurse will prepare to:
1. Administer atropine 2. Prepare for cardiopulmonary resuscitation (CPR) 3. Prepare the client for surgical placement of a pacemaker 4. Instruct the client to perform the Valsalva maneuver