The client was working in the kitchen and was splashed in the ...

[yoooooman]

The client was working in the kitchen and was splashed in the face with a caustic cleaning agent. His eyes were affected, and he was brought to the hospital for treatment. After cleansing and evaluation, his eyes were bandaged.
 
  How should the nurse assist this client, who has temporary visual loss, to eat? a. Feed the client the entire meal.
  b. Allow the client to experiment with foods.
  c. Orient the client to the location of the foods on the plate.
  d. Encourage the family to feed the client.

Question 2

Which situation will require the nurse to obtain a telephone order?
 
  a. As the nurse and primary care provider leave a patient's room, the primary care provider gives the nurse an order.
  b. At 0100, a patient's blood pressure drops from 120/80 to 90/50 and the incision dressing is saturated with blood.
  c. At 0800, the nurse and primary care provider make rounds and the primary care provider tells the nurse a diet order.
  d. A nurse reads an order correctly as written by the primary care provider in the patient's medical record.

[bubulittle310@msn.cn]

Answer to Question 1

C
A meal tray can be set up as a clock. The visually impaired client can easily become oriented to the items after the nurse or family member explains each item's location. This enables the client to perform self-care (feeding), which is essential for self-esteem.
The client should be allowed to feed himself to maintain self-esteem.
Allowing the client to experiment with foods does not assist the client in performing self-care.
The client should be allowed to feed himself to maintain self-esteem.

Answer to Question 2

B
A registered nurse makes a telephone report when significant events or changes in a patient's condition have occurred. Telephone orders and verbal orders usually occur at night or during emergencies. Because the time is 1 AM (0100 military time) and the primary care provider is not present, the nurse will need to call the primary care provider for a telephone order. A verbal order (VO) involves the health care provider giving orders to a nurse while they are standing near each other. Just reading an order that is correctly written in the chart does not require a telephone order.