A newly admitted patient wears contact lenses. An assistive personnel asks the nurse if contact lenses need special attention and why
The nurse informs the assistive personnel that nonextend-ed-wear contacts left in the eyes for an extended period of time can cause ____________________. Fill in the blank(s) with correct word
corneal injury
Patients are admitted to hospitals or agencies in unresponsive or confused states. Remove contact lenses, and rinse lenses and eyes with a sterile saline solution.
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After a forceps-assisted birth, the client is observed to have continuous bright red lochia but a firm fundus. Which other data would indicate the presence of a potential vaginal wall hematoma?
a. Lack of an episiotomy b. Mild, intermittent perineal pain c. Lack of pain in the perineal area d. Edema and discoloration of the labia and perineum
A nurse manager plans the fiscal budget to include salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room
The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher-than-planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as: a. revenue. b. variance. c. monitoring. d. capital expenditures.
A patient diagnosed with severe depression exhibits psychomotor retardation and a sense of worthlessness manifested in poor personal hygiene. The patient refuses to shower, stating, "I can't.". The nurse should:
a. not force the issue before a nurse-patient relationship has been established. b. matter-of-factly assist the patient to shower and dress in clean clothes. c. state that the patient will be required to shower the following morning. d. explain that others respond negatively to those with poor hygiene.
The nurse is preparing to discharge a patient with HIV who will be continuing to take enfuvirtide (Fuzeon) at home. The nurse is providing patient education about the medication
What information about the administration of enfuvirtide is most appropriate for the patient? a. The importance of injecting the drug into two alternating sites daily b. How to reconstitute and self-administer a subcutaneous injection c. The importance of taking the drug with high doses of vitamin E d. Likely drug interactions between enfuvirtide and other antiretroviral drugs