A nurse is planning care for a client who has vision loss

A nurse is planning care for a client who has vision loss. A nurse is assisting with planning care for a client who is having difficulty swallowing food at mealtime. Which functional consequence would be most important to monitor in this older adult? A) Development of visual hallucinations B) A visual acuity score of 20/30 C) Improved visual acuity after medications for dementia D) Growth of daily weight--> daily weight provides important information about client's fluid status. Study with Quizlet and memorize flashcards containing terms like A sensory deficit that may arise from the client's eyes being bandaged after eye surgery can result in: A. What would be a statement on the plan of care that would address the implementation phase of the nursing process for this client? A 6 cm x 4 cm wound with malodorous, yellow exudate The client's wound will heal by 1 cm by the end of 5 days. 4. I'm scared that I might have cancer. The client reports that their food does not taste right. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has. Order a low-residue diet. psychic blindness. Cluster the newborn's care activities. 1. In planning care, the nurse documents ways to minimize the obstacles to successful communication with this client. 2. Which of the following actions should the nurse take to promote communication? (Select all that Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a preterm newborn. Jaw pain Drowsiness Blurred vision Tinnitus Muscle pain, A health care professional is caring for a patient who is to begin taking calcitonin-salmon (Miacalcin A. (C) Provide the client with an alphabet board. Which of the following interventions should the nurse include in the plan of care? Place the client in semi-Fowler's position. Which of the following strategies should the nurse include in the plan? Use of auditory or tactile materials Rationale: the use of auditory or tactical materials bypasses the need to see or read. Stand or sit in the client's line of vision. Cover the client with an electric blanket if extremities become mottled. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the plan of care for a client who has a cerebral aneurysm . C. C) A clock that chimes the hour in the client's living room. Which of the following interventions should the nurse include in the plan of care? Answer Choices: Tell the client which food she should eat first Provide small-handled utensils for the client Thicken liquids on the client's tray Use a clock A nurse is planning care for a client who has major depressive disorder and is experiencing loss of appetite, insomnia, and the inability to provide self-care. Which of the following actions is the nurses priority?, A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck's traction. Which of the following actions should the nurse take?, A nurse is evaluating A nurse is planning care for a client who has vision loss which of the following interventions should the nurse include in the plan of care to assist the client with feeding. Risk for suicide R/T powerlessness AEB insomnia and anorexia D. Turn the client every 2 hours. A nurse is caring for a client who has an epidural hematoma. What contributing factors should the nurse include in the teaching?, 2. The client is hesitant to have the device applied. The nurse develops a plan of care that includes monitoring the client for signs of acute graft rejection. Study with Quizlet and memorize flashcards containing terms like The client is to have pneumatic compression devices applied. Use 40-watt bulbs in lighting fixtures. b. Which of the following actions is the nurse's priority?, A nurse is calculating the fluid intake for an infant at the end of an 8-hr shift. C) Lightly touch the patient's arm and then introduce herself. Her nursing career has led her through many different specialties including inpatient acute care, hospice, home health, case management, travel nursing, and telehealth, but her passion lies in educating through writing for other healthcare professionals and the A nurse is planning care for a client who is having difficulty swallowing food at mealtime. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss C. Assess the client for pitting edema d. Apply restraints. provide small handled utensils for the client . Orient the client to surroundings. It makes everyday tasks such Sep 25, 2023 · When planning care for a client who has vision loss, enhancing independent functioning is crucial, so the nurse would consider interventions that facilitate this. A gain or loss of 1 kg (2. Which of the following interventions should the nurse include in the plan of care? A. Orient the patient with reduced vision to his or her immediate environment. Aug 9, 2024 · This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. The client describes the loss as beginning with a "flash" of light followed by a "curtain" across the field of vision. To prevent injury and encourage independence, the patient with vision loss should receive a thorough orientation to his surroundings. thicken liquids on the clients tray Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who reports vision loss. Ensure the room is brightly lit. Which of the following pieces of information is the priority for the nurse to provide?, A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Treatment and subsequent recovery is more successful when the client has the coping skills and is able to participate in the recovery process. 5 cm on day 3 of wound care. Study with Quizlet and memorize flashcards containing terms like A nurse on a medical-surgical unit is assisting with the admission of a client who has vision loss. A nurse is caring for a client who had a stroke and has aphasia. Nursing Diagnosis: Disturbed Sensory Perception (Visual) related to the deterioration of macula as evidenced by verbal complaint of vision problems such as blurry or patchy vision, floaters, eye pain and redness. , Downingtown, Pa. d. ) 1. Encourage ambulation. Which of the following interventions should the nurse include? Use detailed explanations when providing instructions to the client. Which of the following interventions should the nurse include in the plan? a. The nurse should identify that these manifestations indicate which of the following eye disorders? A. A nurse is contributing to the plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). NURSING CARE OF THE PATIENT WITH VISION LOSS. Which of the following interventions should the nurse include in the plan of care to assist the client with feedings? A) assign a staff member to feed the client B) Provide small-handle utensils for the client. Maintain a Study with Quizlet and memorize flashcards containing terms like The registered nurse taking shift report learns that an assigned patient is blind. Use fingertips when calming the newborn. 2lb) indicates a gain or loss of 1 L of fluid; therefore, weighing the client daily will provide the nurse with the most accurate fluid status measurement - not intake and output; it does reflect client's fluid status, but not the most accurate method to measure fluid changes The nurse is caring for a client on the rehabilitation unit who has hearing loss. Administer sedatives. Administer IV fluids evenly over 24 hr. The client has weakness on the right side of the body. (Source: a caregiver’s eye on elders with low vision (abstract). b) Allow the client to rest for 15 min before meals. Client also reports nausea, vomiting, and dyspepsia. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care to improve self-feeding for a client who has vision loss. Mark Luckowski, a psychiatric rehabilitation primary coach at Human Services, Inc. assign a staff member to feed the client. Remove the battery when the hearing aid is not being worn, The nurse plans care for a client who has had gradual vision loss. Retinal detachment C. which of the following actions should the nurse plan to take? 1 turn the water on and ask the client to test temperature 2 obtain assistance to place mitten restraints on the Study with Quizlet and memorize flashcards containing terms like 1. Administer IV fluids to the client evenly over 24 hr b. Encourage the client to rise slowly when A nurse is caring for an older adult client who reports unintended weight loss. A nurse is updating the plan of care for a client who is 48 hr postoperative following a laryngectomy and is unable to speak. One, some, or all responses may be correct. Which of the following should the nurse include in the client's care plan? A. Jul 18, 2016 · 1. Which of the following findings should the nurse expect?, a nurse is caring Apr 30, 2024 · This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Macular degeneration Study with Quizlet and memorize flashcards containing terms like Which safety intervention would the nurse include in a plan of care for a client with somatic disorder who reports loss of vision? Select all that apply. total disorientation. Which client should the nurse see first? a. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) a. They have been married for 26 years and have Study with Quizlet and memorize flashcards containing terms like 1. Provide total assistance with all ADLs. compensation. Physical Orientation. How should the nurse best communicate with this patient? A) Provide instructions in simple, clear terms. The nurse documents in the plan to assess the client for which signs of acute graft rejection? 1. Apr 30, 2024 · Use this nursing care plan and management guide to provide care for patients with macular degeneration. The nurse should inform the client that ability to taste which of the following can decrease with age? (Select all that apply. Limit fluid intake. Purchase several new batteries when a few remain C. B) Introduce herself in a firm, loud voice at the doorway of the room. Client is awake, alert, and oriented x3. (Care, 2003 an;22(1):12 5. The client is sleepy but arousable. The nurse should monitor the client for which of the following complications? (Select all that apply. , is totally blind. " B. Tilt the client's head backwards when he swallows. The nurse is planning care for a client in the acute recovery phase after an ischemic stroke. Weakened gag reflex, A nurse is assessing a Feb 26, 2023 · Maegan Wagner is a registered nurse with over 10 years of healthcare experience. A nurse is assisting with the preparation of an instructional plan for a client who has vision loss. B) Fluorescent overhead lights on at night. Monitor client's cardinal fields of vision. Jun 20, 2024 · A nurse is assisting with the preparation of an instructional plan for a client who has vision loss. Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis, all specifically tailored to address the unique needs of individuals with mecular degeneration. A nurse is planning care for a client who has vision loss. A nurse is teaching a newly licensed nurse about contributing factors for sensory alterations. What interventions will the nurse prioritize when planning care? Select all that apply. The client is aphasic. Hypoglycemia 4. Which characteristics are associated with this condition? Select all that apply. Encourage the client to void every hour. Desired Outcome: The patient will retain optimal vision while preventing permanent loss The nurse is creating a plan of care for a client who has a recent diagnosis of MS. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking. Glaucoma B. a. Client with a tearing, reddened eye with exudate A nurse is planning care for a client who has major depressive disorder and is experiencing loss of appetite, insomnia, and the inability to provide self-care. The nurse should remind the client that this herbal supplement has which of the following actions?, A nurse on a medical-surgical unit is assisting with the admission of a client who has vision loss. However, the most important consideration is the client's own coping skills. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has experienced excessive fluid loss. ) Knowledge deficit R/T bipolar disorder AEB concern about symptoms B. What is the best response by the nurse? A. Lung sounds a nurse is preparing to provide morning hygiene care for a client who has Alzheimer's disease. 1-23. Which of the following should the nurse include in the care plan? A) Brightly colored throw rugs to lighten up the client's room. The nurse suspects what? A nurse is planning care for a client who has experienced excessive fluid loss. Which condition would the nurse suspect is causing these findings? 1) Reduced elasticity of the lens 2) Unevenness in the cornea 3) Excess production of aqueous humor 4) Nontransparent substances in the vitreous humor The home care nurse is preparing to visit a client who has undergone renal transplantation. Which of the following nursing interventions to promote development should be included in the plan of care? a. Close the door to the client's room. Put the call light within reach. Have the client sit alone in a quiet atmosphere during meals. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care to improve self-feeding for a client who has vision loss. Feeding is an intimate activity, and usually, it should be encouraged for the patient to do it independently if possible. Hypotension 2. Apply the principles of infection control when caring for a patient with an eye infection. Use Study with Quizlet and memorize flashcards containing terms like Home safety: Planning care for a client who has vision loss, Cystic Fibrosis: Priority Assessment for a Group of children, Infection Control: Infectious Diseases to and more. Instruct the client on daily muscle stretching. D) State The nurse is creating a plan of care for a client who has a recent diagnosis of MS. Position the client on their side to improve breathing. Allow the client to rest for 15 min before meals. 5. Provide the client with a structured schedule of daily activities. Option 3: Thicken liquids on the client's tray. I've had these funny feelings in my stomach. Which finding indicates the client's blood A client has a partial loss of peripheral vision. Study with Quizlet and memorize flashcards containing terms like A health care professional should tell a patient who is taking alendronate (Fosamax) to monitor for which of the following adverse effects? Select all that apply. Provide the client with a salt substitute c. Which of the following instruction should the nurse include?, A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). closed traumatic brain injury from a fall and is receiving mechanical ventilation. ) Also called low vision, it is defined as loss of eyesight that cannot be corrected with glasses, medicine, or surgery. Which of the following interventions is the nurses priority?, A nurse is caring for a client who has a retinal detachment. and a PACU RN at Chester County Hospital, West Chester, Pa. 3. Aug 6, 2024 · Study with Quizlet and memorize flashcards containing terms like Which safety intervention would the nurse include in a plan of care for a client with somatic disorder who reports loss of vision? Select all that apply A) Apply restraints B) Administer sedatives C) Put the call light within reach D) Orient the client to surroundings E) Use therapeutic communication, Which action would the nurse Study with Quizlet and memorize flashcards containing terms like The nurse is assigned to care for a client with complete right-sided hemiparesis from a stroke (brain attack). Which of the following interventions should the nurse include in the plan of care? A nurse is planning care for a client who has vision loss. Client with intraocular pressure reading of 24 mm Hg b. Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. Which of the following interventions should the nurse include in the plan of care to assist the client with feedings? Option 1: Assign a staff member to feed the client. Which of the following manifestations should the nurse expect? a- a lucid period followed by an immediate loss of consciousness b- a change in the level of consciousness that develops over 48 hours c-neurologic deficits that increase up to 2 weeks post-injury d-cognitive perception that decreases over several months post-injury A hospice nurse is planning end-of-life comfort care for a client. Which of the following Apr 30, 2024 · This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. B. Which of the following parameters should the . Which of the following interventions should the nurse include in the plan of care to assist the client with feeding? Arrange food in a consistent pattern on the client's plate. Which action should the nurse perform first?, A nurse is assessing a newly admitted client diagnosed with diabetes mellitus type 2. Keep the newborn in a well Study with Quizlet and memorize flashcards containing terms like A nurse is caring for client newly diagnosed with diabetes mellitus type 2 who has a blood glucose level of 48 mg/dL. She earned her BSN at Western Governors University. Position the newborn to promote extension of muscles. Dec 4, 2023 · A nurse is planning care for a client who has vision loss. Polyuria 3. " The client has been seen by numerous health care professionals and no evidence of cancer has been demonstrated. (B) Instruct the client on the technique for esophageal speech. Remove the battery before turning the hearing aid off D. c. "This device will help push blood from the small vessels to the large vessels in your legs and prevent you from developing a blood clot. Use aseptic technique when performing an eye examination or instilling drugs into the eye. Provide the client with a salt substitute. Cantrell, a 69-year-old client. "Because you are in bed it is Study with Quizlet and memorize flashcards containing terms like A nurse is providing discharge instructions for a client following cataract surgery with insertion of an intraocular lens. the client becomes agitated and combative when the nurse approaches him. Change the battery after 80 hours of use B. (1) Describe the room and its contents in detail, so that the patient can form a mental image of his room. Which of the following should the nurse include in the care plan? A. , The nurse is caring for Mr. Warnecke P. Formats include face to face, audiotaping, or presentation during walking rounds in each client's room (unless the client has a roommate or visitors are present). He as gradually lost much of the ability to hear in both ears due to working with loud overlooked in the home care setting when treating patients for other conditions. Which of the following strategies should the nurse include in the plan? Use of auditory and tactile materials. c) Tilt the client's head backwards when he swallows. Client rates pain as 7 on a scale of 0 to 10. D. A nurse develops a plan of care for an older adult recently diagnosed with Lewy body dementia. A client who has been having difficulty functioning in daily life comes to the nurse and states, "I'm really afraid. Fever, hypotension, and polyuria 2. Assess for pitting edema. Absence of bowel sounds 5. Provide frequent feedings during the day. Client who has had cataract surgery and has worsening vision c. depression. The client's wound has healed by 0. Select all that may apply. The client's eye examination report shows an intraocular pressure of 24 mm Hg. A. Change-of-Shift Report Nurses give this report at the conclusion of each shift to the nurse assuming responsibility for the clients. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). Talk loudly and slowly to the Oct 4, 2021 · Nursing Care Plan for Diabetic Retinopathy 1. -Deep vein prophylaxis-Falls prevention-Swallowing precautions-Reorientation exercises-Stroke prevention education A nurse is contributing to the plan of care for a client who has labyrinthitis. Caring for a patient with vision loss. The nurse plans care for a client who has had gradual vision loss. Physical Examination Client presents to the ED with upper abdominal pain that radiates to the right shoulder. A home health nurse is planning care for an older client who has impaired vision. Which of the following interventions should the nurse include in the plan of care to prevent injury in the home? Mark the edges of stairs for contrast. The nurse should plan to monitor the client for which of the following early indications of increased intracranial pressure ?, A nurse is planning care for several clients and is considering the clients ' risk for stroke . Option 2: Provide small-handle utensils for the client. Cover exposed extension cords with throw rugs. Client whose red reflex is absent on ophthalmologic examination d. Amy Luckowski is a nursing faculty member at Widener University in Chester, Pa. Which of the following interventions should the nurse include in the plan of care? a) Place the client in semi-Fowler's position. Which of the following actions should the nurse plan to take first? (A) Determine the client's reading skills. An effective report should: Include significant objective information about the client's health A. The client has complete bilateral paralysis of the A nurse is seeing clients in the ophthalmology clinic. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights, A nurse is planning care for a client diagnosed with bipolar The plan of care for a client in crisis involves a complex combination of factors to achieve a positive outcome. Study with Quizlet and memorize flashcards containing terms like A nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. Study with Quizlet and memorize flashcards containing terms like 1. patel qzsw fmvkykl crgumj spwog qjdka ircixuj oesr gijjw qqi