Author Question: An elderly client, with bilateral cataracts, arthritis, and a hearing deficit, is scheduled for ... (Read 26 times)

dakota nelson · **on:** Jul 22, 2018

An elderly client, with bilateral cataracts, arthritis, and a hearing deficit, is scheduled for cataract surgery. The nurse realizes that which of the following nursing diagnoses will be a priority for this client?

1. Ineffective Coping
2. Disturbed Sensory Perception: Visual
3. Decisional Conflict
4. Ineffective Therapeutic Regime Management

Question 2

The mother of a newborn calls the pediatric clinic and states, I am concerned about my baby. When she first goes to sleep, her eyes dart around under her eyelids, she doesn't breathe regularly, and she sometimes twitches..

What advice should the nurse give this mother? 1. Please bring your baby in immediately for a checkup..
2. These are common behaviors in newborns and are normal..
3. You should ask the physician about these symptoms at your next checkup..
4. If your baby does this again, take her to the emergency department..

rleezy04 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Ineffective Therapeutic Regime Management

Rationale:
The client has arthritis, which is a chronic condition and may interfere with the client's ability to management self-care and postoperative care after cataract removal. Risk for ineffective therapeutic regime management is the diagnosis with the highest priority for the client at this time. There is no evidence to suggest the client is not coping or is experiencing decisional conflict regarding the removal of the cataracts. The client does have disturbed sensory perception; however, the postoperative care is the highest priority at this time.

Answer to Question 2

2. These are common behaviors in newborns and are normal..

Rationale:
These are indications of normal REM sleep in the newborn. The mother should be reassured that this is normal. Having the mother wait until the next checkup unnecessarily delays this reassurance. There is no need for an immediate trip to the clinic or to the emergency department.