Identify the initial action by the nurse that is most appropriate for a 10-year-old boy who is seen in the ER with a partially detached retina on the left side of the left eye after sustaining a head injury during a baseball game
a. Cover both eyes with a soft eye patch.
b. Position the client on the right side with his head slightly elevated.
c. Irrigate the left eye with a gentile stream of normal saline.
d. Position the client on the left side with his head flat.
D
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During a job interview, the nurse recruiter informs you that the organization is undergoing several significant changes. As a new graduate, you recognize that one characteristic of organizational change is:
a. improving efficiency. c. mandatory on an annual basis. b. spontaneous action. d. voluntary for self-improvement.
An adult female says, "I don't need contraceptives because my cycles are as regular as clockwork. I know when I should abstain from intercourse." Select the nurse's best response
1. "You are fortunate that your cycles are so regular. Most women are unable to rely on this approach to contraception." 2. "You are still at risk for getting a sexually transmitted disease. Let's discuss contraceptive options that will prevent disease." 3. "Many factors can change the menstrual cycle. You're fortunate to have regular cycles, but an additional method of contraception should be used to prevent pregnancy." 4. "You have described the rhythm method of contraception. Women have used that method successfully for thousands of years."
A nurse is preparing to document a collaborative problem for a client with pain. Which of the following would be most appropriate?
A) "Impaired physical mobility related to chronic pain" B) "Risk for powerlessness related to chronic pain" C) "Readiness for enhanced comfort level" D) "PC: peripheral nerve compression"
Which activity would you select as best for your patient in a manic state?
A. Brown bag lunch at a book review group B. Badminton C. Paint by numbers class D. Guided imagery