Nursing interventions that are appropriate for the client who has lost her vision include: Standard Text: Select all that apply
1. Use of a radio or audiotapes.
2. Ordering a bland diet.
3. Offering a massage.
4. Placing silk flowers in the client's room.
5. Using therapeutic pet therapy.
1,3,5
Rationale: Auditory stimulation can supplement sensory input for the client with a visual impairment.
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In providing care to the client with dysphasia, which of these actions should the nurse take?
a. Continue to provide explanations before doing anything. b. Encourage a family member to stay with the client as often as possible. c. Plan care around rehabilitation activities to improve speech. d. Speak only when absolutely necessary, to avoid confusion for the client.
The nurse caring for a post-surgical child who had a repair of a cleft lip will clean the suture line by:
a. Gently washing the sutures with soap and warm water b. Carefully removing the crusty exudate with a moist cotton-tipped applicator c. Applying a dilute solution of hydrogen peroxide and blotting with a cotton ball d. Rinsing with sterile saline and blotting dry with a gauze pad
The nurse explains to the parents of a child who has been diagnosed with vesicoureteral reflux (VUR) that this is a condition in which:
a. The ureters are stenosed and allow urine to enter the pelvis of the kidney b. A malfunctioning valve at the junction of the ureter and bladder allows urine to enter the pelvis of the kidney c. The bladder does not completely empty and acts as a reservoir for bacterial growth d. The ureter is constricted and does not allow urine to leave the pelvis of the kidney
A patient tells the nurse that an ILLNESS was caused by the evil eye. What are common beliefs about this cause of ILLNESS? Select all that apply:
1. Power comes from the eye and strikes a victim. 2. The onset of illness is sudden. 3. The person who cast the evil eye may not be aware of the power. 4. The illness may be cured with rituals. 5. The illness will become chronic.