List five things you will do in the care of the person with glaucoma.
What will be an ideal response?
• Monitoring accurate intake and output if the person is on intravenous medication to reduce eye pressure
• Checking vital signs every 2 to 4 hours
• Reporting complaints of eye pain promptly to the nurse
• Keeping the person safe and making sure the call signal and needed items are within reach
• Avoiding strain and exertion that will increase pressure in the eye
• Keeping the patient from stooping or lifting
• Avoiding tight and constrictive clothing for the person, which also increases pressure
You might also like to view...
For a substance-abusing client, the most appropriate nursing goal is to:
1. Assume responsibility for the choice to use substances. 2. Allow family to determine the plan of intervention. 3. Use acceptable amounts of legal substances. 4. Learn to avoid feelings of low self-esteem.
When reviewing laboratory results for a child with hemophilia, the nurse anticipates finding an abnormal:
a. prothrombin time. b. bleeding time. c. platelet count. d. partial thromboplastin time.
A nurse is caring for a 54-year-old man with peripheral arterial insufficiency with a nursing diagnosis of altered peripheral tissue perfusion related to compromised circulation. The most appropriate intervention for this diagnosis would be:
A) Elevate his legs and arms above his heart when resting. B) Encourage the patient to engage in a moderate amount of exercise. C) Encourage long periods of sitting or standing. D) Discourage walking to decrease pain.
Which of the following may a nursing assistant be responsible for determining?
a. Vital signs b. Cranial nerve function c. Neck vein distention d. Auscultation of bowel sounds