The client has just returned from having surgery for a scleral buckling procedure to repair a large retinal detachment in the right eye. Sulfahexafluoride gas was used intraocularly. What postoperative position should the nurse use for this client?
A. Completely supine with sandbags to prevent the head from turning to either side
B. On the nonoperative side in the Trendelenburg position
C. On the operative side in the Trendelenburg position
D. On the abdomen with the affected eye up
D
Sulfahexafluoride gas has a lower specific gravity than the vitreous humor. It will float to the highest position. The client should be positioned so that the gas will float up and against the newly reattached retina.
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The nurse is working with a client who appears unwilling to explore a specific topic during the working phase of the therapeutic relationship, by continually changing the subject. Which of the following nursing strategies would be most helpful?
1. Clarify the client's refusal to explore the topic by labeling it as resistance. 2. Accept the client's refusal to talk about the topic by changing the subject. 3. Allow the client to decide the appropriate time to explore the topic. 4. Insist the client discuss the topic by examining the origin of the behavior.
A 15-year-old boy has been diagnosed with bone cancer after several months of fatigue and pain. What question should the nurse include in an assessment when trying to minimize the potential for adverse drug reactions?
A) "Do you ever use alcohol or drugs?" B) "How much do you weigh?" C) "On a scale of zero to ten, what level of pain is acceptable to you?" D) "Did Tylenol or other over-the-counter pain remedies ever relieve your pain?"
Which of the following medications is the treatment of choice for clients with shared psychotic disorders?
A) Ziprasidone (Geodon) B) Phenytoin (Dilantin) C) Atenolol (Tenormin) D) Zolpidem (Ambien)
The nurse responds to the call light of a client with chronic obstructive pulmonary disease (COPD) who says, "I can't breathe." The client seems to be having difficulty breathing and is nervous and tremulous. Vital signs are stable, oxygen saturation is 92% on 2 L, and there are clear breath sounds bilaterally. Which intervention would be most appropriate at this time?
a. Administer albuterol nebulizer b. Assist the client in identifying the trigger and ways to avoid it c. Coach the client through controlled breathing exercises d. Continue to monitor oxygen saturation