A patient who has been blind since birth is admitted to the ...

[JGIBBSON]

A patient who has been blind since birth is admitted to the hospital. Which actions should the nurse take when caring for this patient?
 
  Select all that apply.
  1. Orient the patient verbally and physically to the layout of the room.
  2. Leave the room door partially open.
  3. Place signs to remind staff not to move equipment.
  4. Ensure the television is on at all times.
  5. Tell the patient you will leave the light on 24 hours a day.

Question 2

The nurse is instructing a patient who has a hearing and balance disorder. What should be included in these instructions?
 
  Select all that apply.
  1. Change positions slowly.
  2. Turn the whole body, rather than just the head.
  3. Stand very still with the onset of vertigo.
  4. Increase pace of ambulation.
  5. Avoid reclining while taking antivertigo medication.

[recede]

Answer to Question 1

Correct Answer: 1, 3
Orienting the patient verbally and physically allows the patient to understand the location of items and what is present in the room. Leave doors either fully open or closed as the patient wishes, but, to preserve safety, do not leave doors partially open. Posting a sign as a reminder to leave equipment (chairs, tables, etc.) in the same location will minimize the risk of injury when the patient is ambulating in the room. Staff from other departments might not be familiar with the patient's special needs, and a reminder will contribute to the patient's well-being. Sensory stimuli such as a television should be used as desired by the patient. Telling the patient that a light will be on does not increase safety for a patient that has no vision. In some cases, even though the patient is blind, this action can alter the sleeping pattern of the patient.

Answer to Question 2

Correct Answer: 1, 2
The patient should be instructed to change positions slowly, especially when ambulating; turn the whole body rather than just the head; sit down immediately with the onset of vertigo and lie down if possible; and take prescribed antiemetic and anti-vertigo medications. It is not necessary to avoid reclining while taking antivertigo medication.

[JGIBBSON]

Excellent

[amcvicar]

TYSM