Author Question: A nurse is establishing a relationship with the patient who is severely visually impaired and is ... (Read 67 times)

eruditmonkey@yahoo.com · **on:** Jul 22, 2018

A nurse is establishing a relationship with the patient who is severely visually impaired and is teaching the patient how to contact the nurse for assistance. Which action will the nurse take?

a. Place a raised Braille sticker on the call button.
b. Explain to the patient that a staff person will stop by once an hour to see if the patient needs anything.
c. Instruct the patient to tell a family member to get the attention of the staff.
d. Color code the call light system.

Question 2

A nurse is teaching a patient about vision. In which order will the nurse describe the pathway for vision, beginning with the first structure?

1. Lens
2. Pupil
3. Retina
4. Cornea
5. Optic nerve
a. 2, 1, 4, 5, 3
b. 1, 2, 4, 3, 5
c. 4, 2, 1, 3, 5
d. 5, 2, 4, 1, 3

cswans24 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A
The nurse should devise a plan of care that is accommodating of the patient's visual deficit. Placing a sticker on the call light allows the patient to page the nurse for assistance as needed. Using family members is not the best option. Making hourly rounds is not sufficient; the nurse needs to ensure that the patient can get in touch at any time. Color coding the call light will not help a severely visually impaired patient.

Answer to Question 2

ANS: C
Light rays enter the convex cornea and begin to converge. An adjustment of light rays occurs as they pass through the pupil and lens. Change in the shape of the lens focuses light on the retina. The sensory retina contains the rods and cones (i.e., photoreceptor cells sensitive to stimulation from light). Photoreceptor cells send electrical potentials by way of the optic nerve to the brain.