Author Question: A client being seen for an injury to the eye caused by debris falling after cleaning up a house fire ... (Read 52 times)

casperchen82 · **on:** Jul 22, 2018

A client being seen for an injury to the eye caused by debris falling after cleaning up a house fire asks the nurse what he can do to prevent eye injuries in the future since he is a firefighter. The nurse should instruct the client to:

1. Wear protective glasses or goggles.
2. Irrigate the eyes with water after putting out a fire.
3. Use artificial tears every day.
4. Apply warm soaks to the eyes every evening before sleep.

Question 2

A home health nurse is working with a client who has pulmonary fibrosis. The nurse at the time of discharge established which of the following teaching priorities for follow-up care?

1. The client will be able to set up and administer a nebulizer treatment by the end of the day.
2. The client will have increased activity level by the end of the week.
3. The client will be able to do ADLs (activities of daily living) without shortness of breath in 3 days.
4. The client will have a positive attitude about the diagnosis by the end of the month.

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

Answer to Question 1

1. Wear protective glasses or goggles.

Rationale:
Adults who work outdoors and fail to wear protective gear can develop an injury to the eye. The nurse should instruct the client to wear protective glasses or goggles when firefighting. Irrigating the eyes with warm water, using artificial tears, or applying warm soaks will not prevent an injury to the eye.

Answer to Question 2

1. The client will be able to set up and administer a nebulizer treatment by the end of the day.

Rationale:
Learning outcomes state the client behavior and are ranked according to priority. Nurses can use theoretical frameworks such as Maslow's hierarchy of needs to establish priorities. In this case, the physiological need of learning how to administer medication takes priority over activity and attitudinal needs.