The nurse decides that the assistive personnel is able to assist clients in caring for contact lenses when the assistive personnel states:
A. "If I am in a hurry, I will use tap water for rinsing the lenses."
B. "Gloves aren't necessary; the eye is a clean organ."
C. "I will check with the client to see if the lenses are disposable."
D. "It is normal for contact lens wearers to have red, teary eyes."
C
C. The replacement schedule is determined by the type of lenses the client wears; the client could provide that information.
A. Tap water can contain microorganisms and may be absorbed into the lens, making it uncomfortable to wear..
B. Clean, powder-free gloves are used to prevent the spread of microorganisms during care of contact lenses.
D. Pain, tearing, discomfort, and redness can indicate conjunctivitis, and the client should be referred to his or her provider if symptoms persist.
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When teaching the pregnant patient about self-medicating for pain during labor, why did the nurse instruct the patient to avoid taking acetylsalicylic acid?
A) Development of respiratory depression in the newborn B) Interference with the ability to concentrate on contractions C) Interference with blood coagulation with increased risk of bleeding in mother or infant D) Competition with bilirubin-binding sites in fetal circulation increases risk of kernicterus.
Two patients arrive at the clinic; one is a young
boy with sickle cell anemia, and another is a 57-year-old woman with early stages of Hodgkin's disease. The nurse notices that both patients need the same vaccine. What vaccine would that be? a. Varicella virus vaccine (Varivax) b. Herpes zoster vaccine (Zostavax) c. Hepatitis B virus vaccine, inactivated (Recombivax HB) d. Haemophilus influenzae type b (Hib) vaccine
The nurse is caring for a client receiving IV fluids via an electronic infusion device when the alarm indicating "occlusion" rings on the pump. What should the nurse do first?
a. Assess all tubings for kinks. b. Assess the pump for the proper rate. c. Assess the IV fluid bag to be sure adequate volume is in the bag. d. Make sure that the pump is plugged into the electrical outlet.
Tardive dyskinesia is most likely to develop in clients on antipsychotic drugs:
a. when drug doses are increased. b. within the first three weeks of therapy. c. when long-term therapy is discontinued. d. when the client exhibits episodes of depression.