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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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