Author Question: A client with glaucoma has the nursing diagnosis disturbed sensory perception: visual. Which of the ... (Read 78 times)

Beheh · **on:** Jul 22, 2018

A client with glaucoma has the nursing diagnosis disturbed sensory perception: visual. Which of the following interventions would be appropriate for this client?

1. Assess coping mechanisms
2. Turn off lights when leaving the client's room
3. Provide assistance with meals and eating
4. Keep bed rails in the low position

Question 2

A nurse is performing an admission assessment on a client with AIDS. Which question does the nurse ask to identify a major risk factor for developing AIDS?

1. Have you ever experimented with recreational drugs?
2. How long have you had AIDS?
3. Does your partner have AIDS?
4. Have you had any fever, diarrhea, or chills over the last 48 hours?

firehawk60 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Provide assistance with meals and eating

Rationale:
The client with visual disturbances might have difficulty maintaining good nutrition. The nurse should assist the client with meals and eating as necessary. The nurse should not turn out the lights in the room. The bed rails should be kept in the up position for client safety. Assessing coping mechanisms would be appropriate for the nursing diagnosis of anxiety.

Answer to Question 2

1. Have you ever experimented with recreational drugs?

Rationale:
Use of recreational drugs is a risk factor for contracting aids. Since the client is already diagnosed, asking how long the client has had AIDS does not constitute a risk factor. The nurse cannot ask about the partner without the partner's consent;however, if the partner was present and positive, it would be a risk factor. Asking about recent symptoms is not a risk factor.