Author Question: The nurse is discussing future treatments with a patient who has a terminal illness. The nurse ... (Read 90 times)

kwoodring · **on:** Jul 22, 2018

The nurse is discussing future treatments with a patient who has a terminal illness.

The nurse notes that the patient has not been eating and responds to the nurse's information by stating, What does it matter? Which of the following is the most appropriate nursing diagnosis for this patient? a. Social isolation
b. Hopelessness
c. Denial
d. Powerlessness

Question 2

The client is ordered to have eye drops administered daily to both eyes. On which part of the eye should eye drops be instilled?

a. Cornea
b. Outer canthus
c. Lower conjunctival sac
d. Opening of the lacrimal duct

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

Answer to Question 1

D

Feedback
A The patient's behaviour and verbalization is not an example of social isolation. The patient is not avoiding others or being restricted from seeing others.
B Hopelessness is more reflective of the comment, I have no future, than What does it matter?
C The patient's behaviour and verbalization does not indicate denial.
D A defining characteristic for the nursing diagnosis of powerlessness may include the patient stating, What does it matter? when offered choices or information concerning him or her.

Answer to Question 2

C
Eye drops should be instilled into the lower conjunctival sac. The conjunctival sac normally holds one or two drops and provides even distribution of medication across the eye.
The cornea is very sensitive. Drops instilled onto the cornea would stimulate the blink reflex.
The outer canthus would not hold the eye drop and medication would be wasted, nor would the medication be distributed evenly across the eye.
The opening of the lacrimal duct is not the correct site for eye drops to be instilled. It would not provide even distribution of drops across the eye, and medication would most likely be wasted because this area could not contain the eye drops.