Clinical Application Question

One month has passed since Mrs. Long made an informed decision to have cataract surgery. After surgery she reported improved vision and ability to participate in activities of daily living. Today the community health nurse visits, and Mrs. Long reports shortness of breath with activity. After the nurse consults with Mrs. Lon’s health care provider, Mrs. Long is admitted to the emergency department with diagnosis of heart failure exacerbation.
1. Three days after being admitted to the hospital, Ms. Long reports less shortness of breath; however, she is restless and fatigue. She is on a cardiac monitor and continues to receive oxygen. The staff nurse reports that Ms. Long has slept very little since her admission. Her semiprivate room is directly across from a busy nurse’s station, and she frequently calls out for assistance. Identify the sensory alteration Ms. Long is experiencing and identify three strategies that will ensure she gets enough sleep. Answer: sensory overload. We can keep her room door shut, offer ear plugs, and keep room dark and quiet.
2. Ms. Long was released from the hospital in good health 1 week after admission. Following the recommendation of her healthcare provider, she regularly attends a heart failure support group. She has asked you to speak with the group regarding age-related visual changes and signs and symptoms that may indicate problems. What information will you share with them to promote healthy vision? Answer: you need to get your eyes checked every year. Changes include: reduce visual fields, increased glare, reduce color, reduce visual depth perception, and impaired night vision.
3. Mrs. Long is worried about how to communicate with her sister who had a stroke and developed aphasia. What would you teach her to help her communicate more effectively with her sister? Answer: listen to your sister and give her plenty of time to communicate. Use simple short questions. May be use picture to communicate. Also help with