× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
j
3
s
3
j
2
J
2
e
2
n
2
t
2
d
2
b
2
t
2
J
2
b
2
New Topic  
Derar Derar
wrote...
Posts: 329
Rep: 0 0
6 years ago
Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?
 
  a. Assess visual acuity.
  b. Flush the eye with large amounts of irrigation fluid.
  c. Assess level of pain.
  d. Determine whether the pupils are PERRLA.

Question 2

The irreversible absence of all brain function is termed ______________.
 
  Fill in the blanks with correct word

Question 3

Patients on the unit have their vital signs taken routinely at 0800, 1200, 1600, and 2000. At 1000, a patient complains of feeling light-headed. The nurse takes the patient's vital signs and finds blood pressure to be lower than usual.
 
  Within 15 minutes, the patient says that he feels better. The nurse rechecks the blood pressure and finds that it is now back to normal. How should the nurse handle documentation for this episode?
  a. Document the 1000 vital signs in the graphic record only.
  b. Not report the incident because it was a transient episode.
  c. Document the vital signs in the graphic and progress record.
  d. Document the vital signs as 12 o'clock signs.
Read 49 times
2 Replies

Related Topics

Replies
wrote...
6 years ago
The answer to question 1

B
The first thing the nurse should do when caring for a patient who has sustained a chemical injury to the eye is flush the eye with large amounts of irrigation fluid. Assessing visual acuity, pain, and PERRLA will be performed after the eye has been irrigated appropriately.

The answer to question 2

brain death
Family members often need help understanding what brain death, the irreversible absence of all brain function (including the brainstem), means for the person who has died.

The answer to question 3

C
When documenting a significant change on a flow sheet, you describe the change, including the patient response to nursing interventions, in the progress notes. For example, if a patient's blood pressure becomes dangerously low, record the blood pressure in the progress notes, as well as relevant assessment such as pallor and dizziness and any interventions performed to raise the blood pressure. Common issues in malpractice caused by inadequate or incorrect documentation include failing to give a report or giving an incomplete report to an oncoming shift and failing to document the correct time of events.
Derar Author
wrote...
6 years ago
White Heavy Checkmark Correct!
New Topic      
Explore
Post your homework questions and get free online help from our incredible volunteers
  683 People Browsing
Related Images
  
 372
  
 4033
  
 452
Your Opinion
What's your favorite math subject?
Votes: 559