A nurse examines a client's retina and finds cotton-wool patches. Which of the following would the nurse suspect?
A) Glaucoma
B) Diabetes mellitus
C) Papilledema
D) Optic atrophy
B
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The nurse is caring for four patients on the progressive care unit. Which patient is at greatest risk for developing delirium?
a. 36-year-old recovering from a motor vehicle crash; being treated with an alcohol withdrawal protocol. b. 54-year-old postoperative aortic aneurysm resection with an elevated creatinine level c. 86-year-old from nursing home, postoperative from colon resection d. 95-year-old with community-acquired pneumonia; family has brought in eyeglasses and hearing aid
The nurse is caring for a 78-year-old with a history of chronic depression. The patient currently reports persistent left shoulder pain since having a fall a year ago. To best address the patient's pain, the nurse initially determines
a. if the patient is still at risk for falls. b. the severity of the shoulder injury. c. how effectively depression is being ma-naged. d. the patient's ability to effectively cope with pain.
The nurse is providing care at a time that is the most beneficial to the client. The nurse is implementing which of the following Joint Commission Dimensions of Quality Performance?
1. Safety 2. Timeliness 3. Efficiency 4. Availability
The nurse is preparing to assist a Jewish-American client with eating lunch. A kosher meal is delivered to the client. Which of the following nursing actions is most appropriate in assisting the client with the meal?
1. Unwrap the eating utensils for the client. 2. Replace the plastic utensils with metal eating utensils. 3. Carefully place the food from the paper plates to glass plates. 4. Ask the client to unwrap the eating utensils, and allow the client to prepare the meal for eating.