Which of the following would be least useful for the nurse to use as part of the collaborative management of the client with conjunctivitis?
1. Cold eye compresses
2. Careful handwashing
3. Antibiotic therapy
4. Dark sunglasses
1. Cold eye compresses
Rationale:
Warm compresses, not cold, should be used in the management of conjunctivitis. Warm compresses relieve discomfort and reduce swelling by increasing circulation to the eye. The other options are standard methods for managing the client with conjunctivitis. Dark glasses help to reduce photophobia.
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The case management for a client requiring community mental health services would include which of the following? (Select all that apply.)
a. Advocacy b. Crisis intervention c. Provision of referrals to a shelter d. Administration of psychotropic medications e. Developing a client's plan of care
The nurse receives a referral to visit a client who neighbors fear is being abused by a spouse. The client allows the nurse inside but is obviously reluctant to have the nurse in the home. The nurse could best address the client's concerns by:
(Select all that apply.) 1. Tactfully communicating the reason for the visit. 2. Establishing appropriate expectations for the visit for the client and nurse. 3. Starting to establish a rapport with the client. 4. Stating that the neighbors made the referral. 5. Informing the client that her name has been given to a local women's shelter.
When reviewing the mechanism of action of a specific drug, the nurse reads that the drug works by selective enzyme interaction. Which of these processes describes selective enzyme interaction?
a. The drug alters cell membrane permeabil-ity. b. The drug's effectiveness within the cell walls of the target tissue is enhanced. c. The drug is attracted to a receptor on the cell wall, preventing an enzyme from binding to that receptor. d. The drug binds to an enzyme molecule and inhibits or enhances the enzyme's ac-tion with the normal target cell.
A PHN discusses with a client which services are appropriate to meet her needs. Which of the following best describes the role that the nurse is using?
a. Case manager b. Advocate c. Counselor d. Role model