The nurse plans care for a client who has had gradual vision loss. Which of the following should the nurse include in the care plan?
A) Brightly colored throw rugs to lighten up the client's room.
B) Fluorescent overhead lights on at night.
C) A clock that chimes the hour in the client's living room.
D) Radio playing music in the client's room around the clock.
C
Feedback:
Attention must be paid to stimulation of senses during the daylight hours. Music in the client's room can be used intermittently to block out other noises, but continual use and continual room lighting interfere with sleep–wake cycles. Bright colors are helpful but throw rugs are to be avoided as a tripping hazard.
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The nurse assesses the communication in a family that includes a single mother, a teenage son and daughter, and a grandmother. During the family interview, the daughter answers many questions while the son and mother are quiet and the grandmother is absen
A. The communication patterns are healthy. B. The daughter may have a lot of power. C. The grandmother does not want to be involved. D. The grandmother may have little power. E. The mother and son may have a coalition.
The nurse gave a diabetic child an injection of Humalog insulin at 0700. At what time would it be most important to check on the child?
A. 0715 B. 0800 C. 0930 D. 1200
The nurse is identifying nursing diagnoses for a patient's care. In which order should the nurse complete this process?
Choice 1. Draw conclusions about the present health status. Choice 2. Determine etiologies and categorize problems. Choice 3. Cluster cues and identify data gaps. Choice 4. Verify the problem or diagnoses. Choice 5. Identify significant cues.
Reviewing the client's progress toward the stated goals
Match each item with its correct description. a. Nursing diagnosis d. Planning nursing care b. Evaluating the plan e. Assessment c. Implementing the plan f. Nursing interventions