A client has had an enucleation for ocular melanoma. Which of the following instructions takes priority when dismissing this client?
a. "Be extra cautious when going up or down stairs."
b. "If the plastic conformer comes out, wash it and replace it."
c. "Keep soap and water out of your eye socket."
d. "You can wear an eye patch sometimes, but not all of the time."
A
All are correct discharge instructions. However, option a is the priority because it involves client safety. The loss of one eye and resultant monovision causes the client to lose depth perception. The client should be extremely cautious on stairs, while walking or crossing streets, or driving.
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The nurse needs to take the blood pressure of a small child. Of the cuffs available, one is too large and one is too small. The best nursing action is which?
a. Use the small cuff. b. Use the large cuff. c. Use either cuff using the palpation method. d. Wait to take the blood pressure until a proper cuff can be located.
A patient with type 1 diabetes is receiving preconception counseling. The nurse will emphasize that during the first trimester, the woman might experience:
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