Until doctor's orders are received, the most appropriate position for Mr. Jones, admitted with retinal detachment, is lying

Correct Answer: B

Rationale: In the case of Mr. Jones, admitted with retinal detachment, the most appropriate position until doctor's orders are received is lying on his left side. This position helps to prevent pressure on the eye, reducing the risk of further damage to the detached retina. Lying flat on his back (Option A) can increase intraocular pressure, potentially exacerbating the retinal detachment. Lying on his right side (Option C) or on his abdomen (Option D) could also put undue pressure on the affected eye, worsening the condition. From an educational perspective, understanding proper positioning for patients with specific conditions is crucial in nursing practice. It is essential for nurses to be able to implement appropriate positioning techniques to promote patient comfort and prevent complications. In the case of retinal detachment, proper positioning can significantly impact the patient's outcome and recovery. This question highlights the importance of considering the physiological implications of patient positioning in the context of specific health conditions.

Correct Answer: D

Rationale: In the case of Mrs. Roberts, who communicates well by lipreading, it is crucial to avoid obscuring her view of your mouth when planning her care. This is the correct answer because lipreading relies on visual cues from the speaker's mouth movements and expressions to understand speech. By ensuring that Mrs. Roberts can clearly see your mouth while you speak, you are facilitating effective communication and maximizing her ability to understand you. Option A, facing her and slightly raising your voice, is incorrect because raising your voice may distort your lip movements and make it harder for Mrs. Roberts to lipread accurately. Option B, writing everything important, is also not the best approach as it may not be feasible in all care settings and could limit real-time communication. Option C, employing nonverbal cues, is helpful but may not be as effective as ensuring clear visibility of your mouth for someone who relies on lipreading. In an educational context, understanding the importance of accommodating different communication needs of patients is a key aspect of providing patient-centered care. Nurses and healthcare professionals should be aware of the diverse communication preferences and abilities of their patients to ensure effective and empathetic communication, ultimately leading to improved patient outcomes and experiences.

Correct Answer: B

Rationale: The correct response, option B, is the best choice in this scenario for several reasons. First, it acknowledges the patient's distress and addresses their concerns empathetically. By reassuring the patient that they are not in immediate danger of dying from opioid withdrawal, the nurse can help manage the patient's anxiety and build rapport. Additionally, offering to check if there are any PRN (as needed) medications available demonstrates a proactive approach to addressing the patient's discomfort within the scope of appropriate care. Option A is incorrect because calling a rapid response for a patient experiencing opioid withdrawal is not warranted unless the patient is in a life-threatening situation, such as respiratory distress or severe overdose. This response may escalate the situation unnecessarily and is not aligned with evidence-based practice for managing opioid withdrawal. Option C is also incorrect as it dismisses the patient's concerns and delays addressing their distress. Patients in withdrawal often experience intense physical and psychological symptoms, and it is important to provide support and guidance promptly. Option D is incorrect because ordering a narcotic for a patient in opioid withdrawal is not recommended as it can perpetuate the cycle of addiction and is not considered best practice in managing withdrawal symptoms. In an educational context, this scenario highlights the importance of effective communication, empathy, and evidence-based practice in managing patients with substance use disorders. Nurses play a crucial role in providing holistic care to individuals experiencing withdrawal and must approach such situations with compassion and a focus on harm reduction strategies.

Correct Answer: A

Rationale: The best response to the patient's father calling his son a bum due to his drug use and legal issues is option A) Anyone can become physiologically and psychologically dependent on drugs, leading to various negative consequences. This response is correct because it addresses the father's judgmental statement with empathy and educates about the nature of addiction. By highlighting the physiological and psychological aspects of drug dependence, it helps the father understand that his son's behavior is a result of a complex issue requiring compassion and support. Option B) Your son realizes his problem and is trying to change, while positive, may oversimplify the challenges of addiction and may not address the father's concerns adequately. Option C) Have you thought about going to family therapy? and Option D) Have you heard about Nar-Anon or Al-Anon? are premature suggestions before addressing the father's misconceptions about addiction. In an educational context, it is crucial to teach healthcare professionals to respond to sensitive family dynamics with empathy and evidence-based information. Understanding addiction as a complex health issue rather than a moral failing is essential in providing holistic care to patients and their families. Educating on the multifaceted nature of addiction helps reduce stigma and fosters a supportive environment for recovery.

Correct Answer: D

Rationale: In eye drop administration, placing the steps in the correct order is crucial for effective and safe medication delivery. The correct order for eye drop administration is option D: Have the client look up while you instill the number of prescribed drops. This step is correct because having the client look up helps to expose the lower conjunctival sac, making it easier to instill the drops accurately without touching the eye. Option A is incorrect because gently pressing on the lacrimal duct for 1 minute is done after instilling the drops to prevent systemic absorption. Option B is incorrect as it precedes instilling the drops and should come after the client looks up. Option C is incorrect because having the client close the eye and move it around is not necessary for eye drop administration and may cause the medication to leak out. In an educational context, teaching the correct order of eye drop administration is essential to ensure optimal therapeutic effects and prevent complications. By understanding the rationale behind each step, nursing students can provide safe and effective care to patients needing eye medications. Practice questions like these help reinforce the correct sequence of steps and enhance students' clinical skills.