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

Question

Quizplus · Accepted Answer

The client's restlessness and questioning of the nurse indicate anxiety about the uncertainty of the outcome of treatment, including the future possible loss of vision. Because the client can see with the right eye, functional vision is relatively intact and the client is not at a high risk for falls. There is no indication of impaired self-esteem at this time.

The Nurse Is Caring for a Client Who Has Bacterial