The nurse would evaluate that the client understands his home care instructions after scleral buckling for a detached retina if the client says which of the following statements
A. "I should avoid abrupt movements of the head. "
B. "I should exercise the eye muscles each day. "
C. "I should turn the entire head rather than just the eyes for sight. "
D. "I should avoid activities requiring good depth perception. "
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The nurse plans to administer an injection of heparin to a client. Which of the following techniques for heparin administration is appropriate
A. Selects a 1.5-inch, 21-gauge needle for the injection.
B. Makes the injection into the deltoid muscle.
C. Applies gentle pressure to the site for 5 to 10 seconds after the injection.
D. Aspirates with the plunger to check for entry into the blood vessel before injecting the heparin.
A client calls the physician’s office 2 days after a herniorrhaphy to report that his scrotum is swollen and painful. Which of the following instruction by the nurse could promote comfort for the client
Apply a snug binder on his abdomen.
B. Have him wear a truss to support the scrotum.
C. Have him lie on his side and place a pillow between his legs.
D. Elevate the scrotum and place ice bags on the area intermittently.
A client who has stress incontinence has been given a pamphlet that describes Kegel exercises. Which of the following statements indicates that the client has understood the instructions in the pamphlet
A. "It will probably take a year before the exercises are effective. "
B. "I should perform these exercises every evening. "
C. "I can do these exercises sitting up, lying down, or standing. "
D. "I need to tighten my abdominal muscles to do these exercises correctly. "
A young man is remanded by the courts for psychiatric treatment. From his police record the nurse notices that the client has records of delinquency, running away, auto theft, and vandalism in his early teenage years. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping. Which of the following problems is most associated with maladaptive coping
Antisocial personality disorder.
Borderline personality disorder.
C. Obsessive-compulsive personality disorder.
D. Narcissistic personality disorder.