Author Question: A nurse is caring for a patient with a broken tibia and fibula. The patient is in a half cast to his ... (Read 82 times)

beccaep · **on:** Jul 22, 2018

A nurse is caring for a patient with a broken tibia and fibula. The patient is in a half cast to his knee and is unable to bear weight. The nurse has instructed the patient on how to walk and climb stairs with his injuries.

What is the best way to assess the patient's knowledge of how to ascend and descend stairs? a. Incorrectly re-demonstrate the procedure and have the patient point out any errors.
b. Have the family member explain the procedure.
c. Have the patient explain the procedure.
d. Have the patient demonstrate the procedure.

Question 2

A 47-year-old patient is being treated for hyperthyroidism. When she goes to the health care provider for a check-up, the nurse in the clinic expects to see which of the following physical symptoms?

a. Exophthalmos
b. Strabismus
c. Photophobia
d. Diplopia

cclemon1 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Ensuring patient safety is an essential role of the professional nurse. To ensure patient safety, communicate clearly with members of the health care team, assess and incorporate the patient's priorities of care and preferences, and use the best evidence when making decisions about your patient's care. Explain the procedure, and describe what you expect of the patient. Demonstration is the most accurate way for the nurse to assess understanding of the skill.

Answer to Question 2

A
Bulging eyes (exophthalmos) usually indicate hyperthyroidism. The crossing of eyes (strabismus) results from neuromuscular injury or inherited abnormalities. Assess for common symptoms of eye disease such as eye pain, photophobia (sensitivity to light), burning, itching, excessive tearing, diplopia (double vision), blurred vision, or visual disturbances (e.g., flashing lights, halos, or film over vision field).