Which of the following can the nurse do to assist a client with disturbed sensory perception: visual because of macular degeneration?
1. Provide information learning how to read Braille
2. Provide large-print reading materials
3. Instruct on limiting fruits and vegetables in the diet
4. Restrict fluids
2. Provide large-print reading materials
Rationale:
The client with macular degeneration would benefit from having large-print reading materials or using a magnifying glass for materials that cannot be printed over-sized. The nurse should not provide information on learning how to read Braille. Increased antioxidant intake has been associated with a reduction in the symptoms of macular degeneration, so the client should be encouraged to increase the intake of fruits and vegetables in addition to zinc and copper supplements. Fluid restriction is not appropriate for a client with macular degeneration.
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The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use?
a. Slope of the earpieces should point posteriorly (toward the occiput). b. Although the stethoscope does not magnify sound, it does block out extraneous room noise. c. Fit and quality of the stethoscope are not as important as its ability to magnify sound. d. Ideal tubing length should be 22 inches to dampen the distortion of sound.
For what purpose does the nurse use brainstorming? (Select all that apply.)
1. To find solutions 2. To create plans 3. To minimize time spent problem solving 4. To discover new ideas 5. To make new friends
A patient confined to bed has slid to the bottom of the bed. What should the nurse do to adjust this patient's body position?
1. Lift the patient up in bed. 2. Pull the patient up in bed. 3. Slide the patient up in bed. 4. Do nothing.
During a home visit of a client with high blood pressure with whom the nurse has developed a strong therapeutic relationship, the nurse learn that the client keeps a large salt shaker near the stove and heavily salts whatever he is cooking
He also keeps a salt shaker on the dinner table and adds more salt when eating. The nurse suggests removing the salt shaker near the stove and only lightly salting food when eating as a way to help reduce the client's sodium intake. This intervention would most likely achieve the goals for assessment associated with which nursing theory? A) Science of Unitary Beings B) Health as Expanding Consciousness C) Roy Adaptation Model D) Self-care Agency