A patient is being dismissed from the emergency department with ...

[sabina]

A patient is being dismissed from the emergency department with an arm cast. What statement by the patient indicates more teaching is needed?
 
  a. I will keep the cast clean and dry.
  b. I will wiggle my thumb and fingers of-ten.
  c. I will elevate my arm on two pillows.
  d. I can use a hanger to scratch under the cast.

Question 2

Your 88-year-old patient is hospitalized for a retinal detachment. He is on bed rest, and both eyes are covered with patches. Which nursing diagnosis takes priority at this time?
 
  a. Self-esteem disturbance related to de-creased independence
  b. High risk for altered thought processes related to visual impairment
  c. High risk for injury related to altered sen-sory perception
  d. Impaired social interaction related to vis-ual deficit

[gstein359]

Answer to Question 1

D
Nothing goes under the cast, so scratching with any type of object is not allowed. The other statements show good understanding.

Answer to Question 2

C
If the eyes are patched, safety precautions, such as keeping call lights, side rails, and necessary items within reach, must be instituted. Finally, assistance must be provided with activities of daily living (ADLs) and walking as needed to promote comfort and safety. The other diagnoses may be appropriate for selected patients.

[sabina]

Thank you

[gstein359]

No problemo