11) A home health nurse is assisting with the plan of care for an older adult client who had cataract surgery recently. Which of the following information should the nurse include in the plan of care?
A. Remain on bed rest for at least 2 days
B. Rest in semi-Fowler's position
C. Deep-breathe a d cough four times a day
D. Lie on the side of the surgery when in bed
12) A nurse is preparing a four-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do what to do if the to fall out. The nurse should give the parent which of the following instructions?
A. Gently reinsert the tube
B. Take the child to an emergency department
C. Call the health care clinic to report that the tubes have fallen out
D. Reassure the mother that the tubes will not fall out
13) A nurse is collecting data from a client who has Bell's palsy. Which of the following finding should the nurse expect? (select all that apply)
A. Muscle distortion
B. Pain behind the ear
C. Hearing loss
D. Facial twitching
E. Impaired taste
14) A nurse is reinforcing preoperative teaching with a client who is scheduled for a retinal detachment repair. Which of the following instruction should the nurse include in the teaching?
A. Keep both eyes patched
B. Restrict head movement
C. Lie down as much as possible
D. Apply cool compresses
15) A nurse is caring for an older adult client to has dementia and whose family reports he gets up and wanders around at night. Which of the following actions should the nurse take?
A. Place the client in a quiet room at the end of the hallway
B. Tell the family that someone should plan to stay with the client
C. Provide bright lighting in the client's room at night
D. Keep the client's personal items within reach
Answers:
11. B
12. C
13. A,B,D,E
14. C
15. D
Are these answers correct?
See later posts.
Yes, the answers provided are correct. Here's how you can arrive at each answer:
11) For a client who recently had cataract surgery, the nurse should include in the plan of care to have the client rest in semi-Fowler's position (B). This position helps to reduce swelling and promote proper drainage of the surgical site.
12) When a child's tympanostomy tubes fall out after bilateral myringotomy, the nurse should instruct the parent to call the health care clinic to report that the tubes have fallen out (C). The healthcare provider will determine if any further intervention or evaluation is necessary.
13) For a client with Bell's palsy, the nurse should expect to find muscle distortion (A), pain behind the ear (B), facial twitching (D), and impaired taste (E). These are common manifestations of Bell's palsy.
14) For a client scheduled for a retinal detachment repair, the nurse should include in the teaching to lie down as much as possible (C). This position helps to decrease strain on the eye and promote healing.
15) To manage a client with dementia who gets up and wanders around at night, the nurse should keep the client's personal items within reach (D). This can help to reduce confusion and anxiety for the client and promote their safety.
Remember, when answering questions, it's important to carefully read and analyze the provided information to select the most appropriate answer based on your knowledge and critical thinking skills.
The answers provided are correct:
11) B. Rest in semi-Fowler's position
12) C. Call the health care clinic to report that the tubes have fallen out
13) A, B, D, E. Muscle distortion, Pain behind the ear, Facial twitching, Impaired taste
14) C. Lie down as much as possible
15) D. Keep the client's personal items within reach