The nurse has identified the nursing diagnosis Disturbed Sensory Perception: Visual as appropriate for a client with glaucoma. Which intervention should be added to this client's plan of care?
A) Keep bed rails in the low position.
B) Assess coping mechanisms.
C) Turn off lights when leaving the client's room.
D) Provide assistance with meals and eating.
Answer: D
The client with visual disturbances might have difficulty maintaining good nutrition. The nurse should assist the client with meals and eating as necessary. The nurse should not turn out the lights in the room. The bed rails should be kept in the up position for client safety. Assessing coping mechanisms would be appropriate for the nursing diagnosis of Anxiety.
You might also like to view...
A nurse is caring for a client who is experiencing a flat affect, paranoid delusions, anhedonia, anergia, neologisms, and echolalia. Which statement correctly differentiates the client's positive and negative symptoms of schizophrenia?
1. Paranoid delusions, anhedonia, and anergia are positive symptoms of schizophrenia. 2. Paranoid delusions, neologisms, and echolalia are positive symptoms of schizophrenia. 3. Paranoid delusions, anergia, and echolalia are negative symptoms of schizophrenia. 4. Paranoid delusions, flat affect, and anhedonia are negative symptoms of schizophrenia.
An 11-year-old was abducted and raped by an unknown assailant. In the emergency department, the
victim is confused and crying. The personal reaction experienced by the nurse that could interfere with the victim's care would be a. empathy. b. concern. c. anger. d. understanding.
A nursing student is giving a report on critical thinking. The student says that which of the following is a part of critical thinking?
A) Planning B) Metacognition C) Desiring D) Metocognition
A community health nurse would like to reduce the prevalence of sexually transmitted diseases (STDs) in the community. Which of the following activities would most likely be used?
a. Establish immunization clinics to prevent STDs b. Educate people with HIV about the mode of transmission c. Explain to women that HIV is transmitted to women usually by intravenous drug abuse d. Develop an STD clinic to increase com-munity access to services