A nurse provides home care instructions to a client after a scleral buckling procedure. The nurse should tell the client:
A. To maintain strict bedrest for 48 hours
B. To expect bloody drainage on the eye dressing
C. That vision will be perfectly clear immediately after surgery
D. That redness and swelling of the eyelids and conjunctiva are expected
Ans: D. That redness and swelling of the eyelids and conjunctiva are expected
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A client, age 18 years, is referred to the mental health center by the primary care physician. The
following history is given. The client and her mother began to visit colleges to which the client had applied. When not traveling, the client spent the summer cooking gourmet meals for her family. Eventually, the mother noticed that the client was eating only tiny portions of the food, saying she wasn't hungry because she had tasted while she cooked. She began wearing several layers of loose clothing, saying she liked the style. At summer's end the client had a physical examination for the school sports program. Her weight had dropped from 130 to 95 pounds and she had amenorrhea. The history and symptoms are most consistent with the medical diagnosis of a. anorexia nervosa. b. bulimia nervosa. c. binge eating. d. eating disorder not otherwise specified.
While the nurse is visiting the community pool, an adult swimmer is pulled out of the pool, unconscious and cyanotic. What is the priority action of the nurse?
a. Begin chest compressions. b. Move from the pool area. c. Give two rescue breaths. d. Check for a carotid pulse.
When caring for a child with probable appendicitis, the nurse should be alert to recognize which sign or symptom as a manifestation of perforation?
a. Anorexia b. Bradycardia c. Sudden relief from pain d. Decreased abdominal distention
A 6-year-old boy admitted to the hospital for a surgical procedure associated with a hospital stay. When the nurse asks his mother about the boy's sleep patterns, she says,
"Sometimes he will get out of bed, walk into the kitchen, and get the cereal out of the cabinet. Then he just turns around and goes back to bed." The nurse explains that he is sleepwalking. The best nursing diagnosis for Tad would be: 1) Risk for Insomnia related to sleepwalking. 2) Risk for Fatigue related to sleepwalking. 3) Disturbed Sleep Pattern related to dyssomnia. 4) Risk for Injury related to sleepwalking.