The priority nursing diagnosis for the client who has been diagnosed with glaucoma and is using medications to reduce the intraocular pressure is which of the following?
A. Risk for Injury related to decreased visual acuity
B. Disturbed Body Image related to corrective lenses
C. Altered tissue perfusion related to deficient knowledge of medication use
D. Risk for Social Isolation related to decreased visual acuity
C
Incorrectly treated, glaucoma can lead to permanent vision loss. The client must understand the disease process and the correct use of the medications to be an active participant in the preven-tion of glaucoma progression and complications.
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A child has undergone surgery using steel bar placement to correct pectus excavatum. Which of the following would the nurse instruct the parents to avoid?
A) Semi-Fowler B) Supine C) High Fowler D) Side-lying
What procedure creates an atrial septal defect?
A) Cardiac angiography B) CABG C) PTCA D) Ballon valvuloplasty
A nurse recognizes that strategies for clear, accurate communication to promote client safety include which of the following?
a. Establishing a safe environment b. Maintaining a climate of closed communication c. Using unique interdisciplinary communication tools d. Using communication tools that promote vague communication
The nurse admits a patient who is complaining of severe abdominal pain and vomiting who is nonverbal. What can the nurse do to communicate effectively with the patient?
a. Use a communication aid b. Wait for family to arrive c. Call interpreter services d. Treat the pain