A client has a pituitary tumor that is placing pressure on the optic nerve and causing altered vision. Which nursing intervention is MOST important?
a. encouraging bed rest
b. insisting that a family member remain in the room with the client at all times
c. providing a safe, clutter-free environment.
d. keeping the room well-lit at all times
C
Nursing interventions for a client with disturbed sensory perception include providing information about adaptive devices and resources for visual changes, and providing a safe clutter-free environment. It is important to make sure the bed is in the low position and the call signal is in reach of the client.
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A 23-year-old woman comes to the free clinic stating "I think I have a lump in my breast. Do I have cancer?" The nurse instructs the patient that a diagnosis of breast cancer is confirmed by what?
A) Supervised breast self-examination B) Mammography C) Fine-needle aspiration D) Chest x-ray
The nurse needs to perform chest compressions for a pulseless child. Which does the nurse use to determine the depth of each chest compression?
1. One half to one inch in depth 2. One to one and a half inches in depth 3. One fourth to one half the depth of the chest 4. One third to one half the depth of the chest
What can be expected of a system that has a high degree of nonsummativity?
a. There is a low degree of interdependence of components. b. The system goes from the complex to the simple. c. Little exchange takes place between the system and the environment. d. There is a high degree of interdependence of components.
A community nurse develops wellness outcomes for those at highest risk for poor management of cardiovascular disease. Which of the following populations should the nurse target?
A) African American woman B) Hindu men C) Immigrant Indian population D) Mentally ill persons