A client with an artificial eye identifies that the prosthesis is uncomfortable. The nurse should remove the prosthesis and:
A. Check the prosthesis for rough edges
B. Rinse the prosthesis with alcohol
C. Irrigate the eye socket with saline
D. Leave the prosthesis out of the eye for at least 24 hours
A
A, C, and D. An uncomfortable prosthesis should be checked for sharp or rough edges.
B. An uncomfortable prosthesis should be checked for sharp or rough edges; alcohol could cause further discomfort.
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Which finding would lead the nurse to suspect that a child is experiencing moderate dehydration?
A) Dusky extremities B) Tenting of skin C) Sunken fontanels D) Hypotension
When a patient returns from a cardiac catheterization, the nurse would expect to:
1. ambulate the patient in the hall. 2. check the puncture site. 3. monitor the gag reflex. 4. remove the gel from all sites on the skin.
A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse knows that before this young woman can be examined, consent must be obtained from which source?
a. Herself b. Her mother c. Court order d. Legal guardian
A nurse working the night shift assesses a patient's vital signs at 4 a.m. (0340). What would be the expected findings, based on knowledge of NREM sleep?
A) decreased TPR and BP C) no change from daytime readings B) increased TPR and BP D) highly individualized, cannot predict