An older adult client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit?

Apply bilateral eye patches while sleeping.

Arrange food on the plate in clockwise order.

Verbally identify self when entering the room.

Use a white board to communicate ideas.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Apply bilateral eye patches while sleeping: Routine patching is not typically required after photocoagulation. This intervention may impair safety and independence unnecessarily, especially if only one eye was treated.

B. Arrange food on the plate in clockwise order: This technique supports clients with total blindness, but photocoagulation for macular degeneration usually preserves peripheral vision. Clock-face plate arrangement may not be necessary for partial vision loss.

C. Verbally identify self when entering the room: Clients with macular degeneration often lose central vision but retain peripheral vision. Verbal identification helps orient and reassure the client, supporting emotional comfort and safety in the postoperative period.

D. Use a white board to communicate ideas: White boards require intact central vision for reading. Clients with macular degeneration may struggle to see text, so verbal communication is generally more effective and appropriate.

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Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C","dropdown-group-3":"B"}

Explanation

Rationale for Correct Choices

4 to 8 weeks: Sertraline, an SSRI, typically requires 4 to 8 weeks to reach its full therapeutic effect. This time frame allows for sufficient serotonin modulation, necessary for symptom improvement in conditions like PTSD and depression.
Eye movement desensitization: Eye Movement Desensitization and Reprocessing (EMDR) is specifically recommended for PTSD. It involves guided eye movements that help the brain reprocess traumatic events and reduce emotional disturbance.
Deep breathing: Deep breathing promotes parasympathetic nervous system activation, helping reduce anxiety and hyperarousal. It is a simple, accessible coping strategy to complement therapy and medication.

Rationale for Incorrect Choices

1 to 2 days: This timeframe is too short for an SSRI to have significant therapeutic effects. Any changes in mood or anxiety within this period are typically not due to the medication’s primary mechanism of action.
10 to 14 days: Although some mild improvement may begin, full therapeutic benefits of sertraline are not typically seen within this period. Clients are advised to continue consistent use for several weeks.
Cognitive behavioural therapy: CBT is effective for many mental health disorders, including PTSD, but it does not involve the “reprocessing” component referenced.
Prolonged exposure therapy: Prolonged exposure is used for PTSD treatment but focuses on gradually confronting trauma-related memories. It lacks the reprocessing element emphasized in the question.
Progressive muscle relaxation: While useful for anxiety reduction, it is more complex and less immediate than deep breathing. It also requires a quiet space and more time, which may limit spontaneous use.
Guided imagery: Guided imagery can reduce anxiety but involves visualization, which may not be suitable for individuals with intrusive trauma-related images. Deep breathing is simpler and more universally applicable.

Correct Answer is ["25"]

Explanation

Calculation:

Determine the concentration of insulin in the solution.

Total units of insulin = 100 units

Total volume of solution = 500 mL

Concentration = 100 units / 500 mL = 0.2 units/mL.

Calculate the infusion rate in milliliters per hour (mL/hr) based on the prescribed insulin units/hour.

Desired insulin rate = 15 units/hour

Infusion rate (mL/hr) = Desired insulin rate (units/hr) / Concentration (units/mL)

= 15 units/hour / 0.2 units/mL

= 75 mL/hour.

Convert the infusion rate from milliliters per hour (mL/hr) to milliliters per minute (mL/min).

Infusion rate in mL/min = 75 mL/hr / 60 min/hr

= 1.25 mL/min.

Calculate the flow rate in drops per minute (gtt/min).

Drop factor = 20 gtt/mL.

Flow rate (gtt/min) = Infusion rate (mL/min) × Drop factor (gtt/mL)

= 1.25 mL/min × 20 gtt/mL

= 25 gtt/min.

Answer: 25

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Body system	Findings
Cardiovascular	Blood pressure of 120/74 mm Hg Capillary refill of 4 seconds in lower extremities Pedal pulse of 2+ or better
Neurovascular	Pupils equal and nonresponsive to light Absence of numbness or tingling in feet Skin that is pale, cool to touch
Renal Perfusion	Client has urine output of 1,600 mL in 24 hours Creatinine of 1.2 mg/dL (106 mmol/L)

An older adult client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C","dropdown-group-3":"B"}

Explanation

The healthcare provider prescribes 500 mL of 0.45% normal saline with 100 units regular insulin to infuse at 15 units/hour. The drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver how many gtt/minute? (Enter numerical value only.)

Correct Answer is ["25"]

Explanation

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