The Nurse Is Caring for a Client Who Has Bacterial

question 35

Multiple Choice

The nurse is caring for a client who has bacterial endophthalmitis in the left eye, is restless, frequently asking whether the eye is healing and whether removal of the eye will be necessary. Based on the assessment data, which of the following nursingdiagnoses is appropriate?

• A)Hopelessness related to stressors (current loss of functional vision)
• B)Anxiety related to threat to current status (uncertainty of outcome of treatment)
• C)Situational low self-esteem related to decrease in control over environment (loss of visual function)
• D)Risk for falls as evidenced by impaired vision

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Definitions:

Comfort

A state of physical and emotional ease, often characterized by a lack of hardship or distress.

Protect

To safeguard or defend from harm, injury, or damage, through preventive measures or responsive actions.

Temperament

An individual's natural disposition that influences their behavior and emotional responses, often considered to be innate rather than learned.

Attachment

The emotional bond that forms between individuals, such as between a child and caregiver, influencing personal development and behavior.