A nurse is caring for a client with a sty on his left upper eyelid. What measure should
the nurse employ when caring for this client?
A) Compress the sty to prevent spread of infection
B) Apply pressure patching for 24 to 48 hours
C) Apply warm, moist compresses over the eyelid
D) Administer miotic drops as ordered
C
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A nurse assesses a client with diabetes mellitus who self-administers subcutaneous insulin. The nurse notes a spongy, swelling area at the site the client uses most frequently for insulin injection. Which action should the nurse take?
a. Apply ice to the site to reduce inflammation. b. Consult the provider for a new administration route. c. Assess the client for other signs of cellulitis. d. Instruct the client to rotate sites for insulin injection.
A patient is admitted to the neurologic ICU with a spinal cord injury. In writing the patient's care plan, the nurse specifies that contractures can best be prevented by what action?
A) Repositioning the patient every 2 hours B) Initiating range-of-motion exercises (ROM) as soon as the patient initiates C) Initiating (ROM) exercises as soon as possible after the injury D) Performing ROM exercises once a day
The nurse should include which factor(s) in a pain assessment? (Select all that apply.)
a. What provokes it b. Location c. Race d. Severity e. Frequency
During treatment for anaphylaxis, what site is used for the initial injection of epinephrine?
a. IV b. Abdomen c. Upper lateral thigh d. Deltoid