The client tells her nurse that upon waking this morning, the vision in her left eye had decreased to about one fourth of the area she could see the day before. What is the nurse's first priority?
A. Ask the client what prescription and over-the-counter medications she is currently taking.
B. Place the client in the supine position and patch the left eye.
C. Document the finding as the only action.
D. Notify the physician.
D
A client with a sudden or persistent loss of vision within the past 48 hours should be seen imme-diately by an ophthalmologist.
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The nurse receives a phone call from a clinic patient who experienced fever and slight dyspnea several hours after receiving the pneumococcus vaccine. What is the nurse's most appropriate action?
A) Instruct the patient to call 911. B) Inform the patient that this is an expected response to vaccination. C) Encourage the patient to take NSAIDs until symptoms are relieved. D) Ensure that the adverse reaction is reported.
The experienced nurse working in the ICU is interested in investigating the care delivered to the clients on the unit in an effort to incorporate the best nursing research. The nurse plans to:
1. Suggest that individual staff members try new means of delivering care. 2. Seek to establish a committee of staff interested in research. 3. Compile a list of questions. 4. Evaluate the results of different research projects.
A client with an upper gastrointestinal disorder is experiencing seeping of liquid stool, anorexia, abdominal distention, nausea, and vomiting. The nurse suspects the client is experiencing:
1. Constipation. 2. Diarrhea. 3. Trapped flatus. 4. Fecal impaction.
A female client undergoes a scheduled electroencephalogram (EEG). Which of the following postprocedure activities should the nurse carry out for the client?
A) Allow the client to rest and shampoo the client's hair. B) Provide the client with adequate caffeine-rich drinks. C) Measure the level of consciousness (LOC) of the client. D) Measure the heart and the pulse rate.