What is an appropriate nursing action to implement when performing eye irrigation?
a. Ask the patient to tip up her head and run the irrigation fluid over her open eye.
b. Direct the irrigating fluid from the inner canthus to the outer canthus.
c. Not allow the patient to blink.
d. Place the irrigating syringe directly onto the corner of the eye and allow the fluid to move across the eye.
B
The direction of the flow should be from the inner canthus to the outer canthus.
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What intervention should the nurse implement to prevent an increase in intracranial pressure (ICP) of a comatose patient who has suffered a closed head injury?
A) Suction the airway every hour and as needed. B) Elevate the head of the bed 15 to 30 degrees. C) Turn the patient and change his position every 2 hours. D) Maintain a well-lit room.
A client's ECG shows slow, irregular QRS complexes that are wide and regular atrial rhythm. What is the nurse's interpretation of this observation?
A. Atrial flutter B. Ventricular flutter C. AV conduction block D. Junctional dysrhythmia
What is the outer layer of skin called?
A) Dermis B) Epidermis C) Hypodermis D) Ectodermis
After assisting with the transfer of a patient from the post-anesthesia care unit into a bed on the unit, a nurse should first
1. Review the physician's orders. 2. Determine the type and amount of intravenous fluid hanging. 3. Perform a physical assessment. 4. Reassure the patient that he or she will receive excellent care on the unit.