The client being discharged to home with a prescription for eye ...

[james9437]

The client being discharged to home with a prescription for eye drops to be given in the left eye has received instructions regarding self-administration of the drops.
 
  The nurse determines that the client needs further instruction if, on return demonstration, the client: 1. Lies supine, pulls up on the upper lid, and puts the drop in the upper lid
  2. Lies supine, pulls down on the lower lid, and puts the drop in the lower lid
  3. Tilts the head back, pulls down on the lower lid, and puts the drop in the lower lid
  4. Lies with head to the right, puts the drop in the inner canthus, and slowly turns to the left while blinking

Question 2

An adult client is brought to the emergency department by emergency medical services after being hit by a car. The name of the client is not known. The client has sustained a severe head injury and multiple fractures and is unconscious.
 
  An emergency craniotomy is required. In regard to informed consent for the surgical procedure, which of the following is the best initial action? 1. Obtain a court order for the surgical procedure.
  2. Transport the victim to the operating room for surgery.
  3. Call the police to identify the client and locate the family.
  4. Ask the emergency medical services team to sign the informed consent.

[trampas]

Answer to Question 1

1

Rationale: It is correct procedure for the client to lie down or sit with his or her head tilted back. The thumb or finger is used to pull down on the lower lid. The client holds the bottle like a pencil (tip facing downward) and squeezes the bottle so that one drop falls into the sac. The client then gently closes the eye. An alternative method for clients who blink very easily is to place the client in the supine position with the head turned to one side. The eye to be used is uppermost. With the eye closed, the client squeezes the drop onto the inner canthus of the eye. The client turns from this side to the other while blinking. Surface tension and gravity then cause the drop to move into the conjunctival sac.

Answer to Question 2

2

Rationale: Generally, there are only two situations in which the informed consent of an adult client is not needed. One is when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the client. The second is when the client waives the right to give informed consent. Obtain a court order for the surgical pro-cedure is unnecessary, and ask the emergency medical services team to sign the informed con-sent is inappropriate. Although call the police to identify the client and locate the family may be pursued, it is not the best initial action.