Prioritization, delegation, and assignment CH 10 & Iggy CH 42-43, Terms in this set (47)Which supplement will the nurse recommend to a client who wants to enhance eye health? A- Lutein A- Lutein Which client statement affirms that nurse teaching about the instillation of eyedrops has been effective? Select all that apply. A- It will be very easy for me to instill all of the drops at one time. B- A schedule will help me remember when to instill the eyedrops What finding does the nurse anticipate when assessing a client with a new diagnosis of glaucoma? A- Seeing "shooting stars" C- Gradual loss of visual fields Which symptom will the nurse teach the client who just had surgery to correct a retinal detachment to immediately report to the eye care provider? Select all that apply. A- Pain in the affected eye A- Pain in the affected eye Which assessment data does the nurse anticipate when a client presents to the emergency department reporting the sensation of a foreign body in the eye? Select all that apply. A- Pain A- Pain When caring for four clients, which client does the nurse report to the health care provider who should NOT receive an otoscopic examination? A- 25 year-old with throat and ear pain D- 60 year-old experiencing delirium Which client statement regarding a new diagnosis of tinnitus requires nursing teaching? Select all that apply. A- I am so glad this condition will go away permanently A- I am so glad this condition will go away permanently What client teaching will the nurse provide to a client who continues to experience more frequent episodes of Meniere Disease? Select all that apply. A- Reducing activity can reduce frequency of episodes. A- Reducing activity can reduce frequency of
episodes. Which communication method is appropriate when interacting with a client who is deaf? A- Use pictures and writing A- Use pictures and writing When teaching a community group of older adults, what information will the nurse include regarding normal hearing changes associated with aging? Select all that apply. A- Hair in the ear thins and falls out. A- Hair in the ear thins and falls out. What teaching will the nurse provide to a client who has just been fitted for new hearing aides? A- Turn off the hearing aid when not using it. D- Avoid using hairspray, makeup, and personal care products around the devices. The nurse is reviewing medications that have been prescribed for several clients who have disorders of the eye. Which medication prescription is the most important to discuss with the health care provider? 1. Timolol for open-angle glaucoma 3. Atropine for acute angle-closure glaucoma At a community health clinic, the nurse is teaching a community group about the prevention of accidental eye injuries. What is the most important thing to stress? 1. Workplace policies for handling chemicals should be followed. 3. Protective eyewear should be worn during sports or hazardous work The nurse is working in an ambulatory care clinic. A client calls to report redness of the sclera, itching the eyes, and increased lacrimation for several hours. What should the nurse direct the caller to do first. 1. "Please call your health care provider" (e.g., decline to advise). 3. "If you are wearing contact lenses, remove them. A nursing student is assisting an older client who is alert, conversant, and cognitively intact. The client has decreased vision related to macular degeneration. When would the supervising nurse intervene? 1. Student puts call bell and personal items within reach and locates each item by guiding the client's hand. 2. Student closes the curtains and turns off all of the lights at the end of the shift to encourage rest and sleep. Which clients would be best to assign to the most experienced nurse in an ambulatory care center that specializes in vision problems and eye surgery? Select all that apply. 1. Client who requires postoperative instructions after cataract surgery 1. Client who requires postoperative instructions after cataract surgery Place the following steps for eyedrop administration in correct order. 1. Gently press on the lacrimal duct for 1 minute. 6. Have the client sit down and tilt his or her head slightly backward. Which tasks are appropriate to assign to an LPN/LVN who is functioning under the supervision of an RN? Select all that apply. 1. Administering sulfacetamide sodium 10% to a child with conjunctivitis 1. Administering sulfacetamide sodium 10% to a child with conjunctivitis The nurse is on a camping trip. A man is chopping wood and gets struck in the eye with a piece of debris. On examination, a wood splinter is protruding from his eyeball. What should the nurse do first? 1. Have the man lie in the back seat of the car and drive him to the emergency department. 3. Stabilize the area by carefully resting a plastic cup on the orbital rim and taping it in place. The nurse is interviewing an older woman and discovers that she has been taking her glaucoma eyedrops by mouth for the past week. What should the nurse do first? 1. Obtain a prescription for tonometry so that her intraocular pressure can be
checked. 2. Try to determine how frequently and how much she has been ingesting. The nurse is working in a community health clinic and a client needs instructions for the care of a hordeolum (stye) on the right upper eyelid. What is the first intervention that the client should try 1. Apply warm compresses four times per day. 1. Apply warm compresses four times per day. Which finding should be immediately reported to the health care provider 1. A change in color vision 4. A curtainlike shadow across the visual field In the care of a client who has sustained recent blindness, which tasks would be appropriate to delegate to unlicensed assistive personnel (UAP)? Select all that apply. 1.
Counseling the client to express grief or loss 2. Assisting the client with ambulating in the hall After cataract surgery, the client experiences all of the symptoms listed below. Which symptoms need to be immediately reported to the health care provider? 1. A scratchy sensation in the operative eye 4. Pain not relieved by prescribed medication A client reports a sudden excruciating pain in the left eye with the visual change of colored halos around lights and blurred vision. Which interventions should the nurse expect and perform for this emergency condition? Select all that apply. 1. Prepare the client for photodynamic therapy. 3. Instill a miotic agent, such as pilocarpine. The nurse is preparing to administer a beta-adrenergic blocking glaucoma agent. Which statement made by the client warrants additional assessment and notification of the health care provider? 1. "My blood pressure runs a little high if I gain too much weight." 4. "My pulse rate is a little low today because I take digoxin. The nurse is supervising a new nurse who has just finished assessing a client for redness and discomfort to the right eye. The new nurse documents "visual acuity N/A." What should the supervising nurse do? 1. Do nothing; the documentation is minimal but acceptable 2. Ask her to explain the rationale for the documentation Which tasks are appropriate to assign to an LPN/L VN who is functioning under the supervision of a team leader or RN? 1. Irrigating the ear canal to loosen impacted cerumen 1. Irrigating the ear canal to loosen impacted cerumen The nurse is interviewing an older adult client who reports that "lately there has been a roaring sound in my ears." What additional assessments should the nurse include? Select all that apply. 1. Obtain a medication history. 1. Obtain a medication history.
A cheerful older widow comes to the community clinic her annual checkup. She is in reasonably good but she has a hearing loss of 40 dB. She confides, "I don't get out much. I used to be really active, but the older I get, the more trouble I have hearing. It can be really embarrassing." What is the priority nursing concept to consider in planning care for this client. 1. Cognition 2. Sensory perception The client reports tinnitus. The nurse decides to review the client's medication list to determine if any medical effect. Which combination of drugs is cause for greatest concern? 1. Gentamycin and
ethacrynic acid 1. Gentamycin and ethacrynic acid Which physical assessment findings should be reported to the health care provider? 1. Pearly gray or pink tympanic membrane 3. Bulging red or blue tympanic membrane Which description by a client reporting vertigo is cause 1. Dizziness with hearing loss 3. Vertigo without hearing loss The nurse is caring for several clients who are having problems with their ears. Which client condition is cause for greatest concern? 1. Has discomfort of the ear preceded by a viral infection; the tympanic membrane is erythematous 4. Reports progressive severe otic pain with purulent discharge and is positive for human immunodeficiency virus The nurse performed postoperative stapedectomy teaching several days ago for a client. Which comment by the client is cause for greatest concern? 1. "I'm going to take swimming lessons in a
couple of months.' 3. "I can't wait to get back to my regular weightlifting class. After examining the client's ear canal with an otoscope, the health care provider instructs the nurse to irrigate the ear canal. Place the following steps for ear irrigation in the correct order. 1. Place the tip of the syringe at an angle in the external canal. 4. Fill a syringe with warm irrigating solution. A nursing student is preparing the equipment to irrigate a client's ear canal. In which circumstances would the supervising nurse intervene before the student starts the irrigation? Select all that apply. 1.Client has a probable perforated eardrum. 1.Client has a probable perforated eardrum. The nurse is working in a clinic that specializes in the care of clients with ear disorders. A client tells the nurse that he has been taking meclizine. Which question is the nurse most likely to ask to evaluate the effectiveness of the medication 1. Has the medication helped to relieve the pain in the ear canal? 2. Are you still experiencing the whirling and turning sensations? An older client tells the home health nurse that several days ago, he had ranibizumab injected into his eye for treatment of wet age-related macular degeneration. He is now experiencing redness, light sensitivity, and pain. What should the nurse tell the client 1. These are common side effects that should pass after a few more days. 2. Contact the health care provider (HCP) immediately for possible eye infection. Phenylephrine, an adrenergic agonist, has been prescribed as a 1. Cardiovascular response, such as hypertension or ventricular dysrhythmia 1. Cardiovascular response, such as hypertension or ventricular dysrhythmia For a client who has multiple risk factors for primary 1. Loss of central visual field 3. Mild eye aching When caring for four clients, which client does the nurse report to the health care provider who should not receive an otoscopic examination? A. 25-year-old with throat and ear pain D. 60-year-old experiencing delirium Which client statement regarding a new diagnosis of tinnitus requires nursing teaching? Select all that apply. A. "I am so glad this condition will go away permanently. A. "I am so glad this condition will go away permanently. What teaching will the nurse provide to a client who continues to experience frequent episodes associated with Ménière disease? Select all that apply. A. Reducing activity can reduce frequency of episodes. Which communication method is appropriate when the nurse is interacting with a client who is deaf? A. Use pictures and writing A. Use pictures and writing 2. When teaching a community group of older adults, what information will the nurse include regarding normal hearing changes associated with aging? Select all that apply. A. Hair in the ear thins and
falls out A. Hair in the ear thins and falls out 3. What teaching will the nurse provide to a client who has just been fitted for new hearing aids? A. Turn off the hearing aid when not using it. D. Avoid using hair spray, makeup, and personal care products around the device. Sets found in the same folderIggy Chp 64-67 In Chp Q's20 terms ayeitsmoods Iggy Chp 70 - Care of Patients with Breast Disorde…22 terms alexannashro Pharm: Eye & Ear Medications30 terms pinayRN7 Saunders Quiz Ch 56 Eye and Ear Problems12 terms ppruchaPLUS Other sets by this creatorUrinary system37 terms Truckerwife82 Cranial nerves28 terms Truckerwife82 NRS 204 TEST 5 NEURO130 terms Truckerwife82 Malabsorption, neoplastic, liver, biliary, and pan…54 terms Truckerwife82 How should a nurse communicate with a deaf patient?12 Tips for communicating with Deaf patients. Book an interpreter. ... . Talk directly to your patient, not the person interpreting for them.. Make sure you have your patient's attention before talking. ... . Maintain eye contact whilst communicating. ... . Use normal lip movement. ... . Speak at a normal volume.. What type of communication is used to communicate a deaf person?Broadly defined, communication for deaf individuals occurs through visual, auditory or tactile modes (for individuals who are deafblind). Common visual communication modes include American Sign Language (ASL), Cued Speech, speech reading (lip reading), and gestures.
What is the first method and best way to communicate with a deaf person?7 top tips for communicating with deaf people.. Always face a deaf person. Make eye contact and keep it while you are talking. ... . Check noise and lighting. Turn off or move away from background noise. ... . Keep your distance. ... . Speak clearly, slowly and steadily. ... . Take turns. ... . Repeat and re-phrase if necessary. ... . Write it down.. How do you communicate with a hearingCommunication strategies for people affected by hearing loss. Be assertive. ... . Using visual cues. ... . Using context. ... . Reduce background noise. ... . Asking for clarification. ... . Asking for repeats. ... . Importance of concentration and keeping calm. ... . Speak clearly and don't shout.. |
Which communication method is appropriate when the nurse is interacting with a client who is deaf?
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