The nurse is caring for patient who presented to an ambulatory ...

[Kikoku]

The nurse is caring for patient who presented to an ambulatory care clinic with a large amount of sand in his eyes following an all-terrain vehicle accident.
 
  After the nurse completes eye irrigation, the patient reports that his eyes still hurt and feel irritated. What action is most appropriate?
  a. Instruct the patient that these feelings are normal after an eye irrigation.
  b. Instruct the patient that the prescribed ointment will help to soothe the eye irrita-tion.
  c. Repeat the eye irrigation with a solution of 50 sterile water and normal saline.
  d. Notify the physician.

Question 2

The nurse is caring for a patient with glomerulonephritis. Which finding best leads the nurse to suspect that the patient is developing nephrotic syndrome?
 
  a. Ascites
  b. Anorexia
  c. Pruritis
  d. Lethargy

[juliaf]

Answer to Question 1

D
The continued sensation of grittiness or irritation may signal the presence of a corneal abrasion. To prevent further injuries, the nurse should notify the physician.

Answer to Question 2

A
Nephrotic syndrome sometimes occurs after the glomeruli have been damaged by glomerulo-nephritis or some other disease. This damage results in increased membrane permeability and excretion of protein and decreased serum albumin (hypoalbuminemia). Hypoalbuminemia causes fluid to shift out into the body tissues and the result is severe edema (ascites). Patients with nephrotic syndrome may also display lethargy and anorexia but are not hallmark symptoms. Nephrotic syndrome does not cause pruritus (itching), although patients with renal insufficiency with high phosphorus/calcium products may experience itching.

[Kikoku]

Thank you

[juliaf]

No problemo