Which of these assessment findings would the nurse expect to see when examining the eyes of a black patient?
a. Increased night vision
b. Dark retinal background
c. Increased photosensitivity
d. Narrowed palpebral fissures
ANS: B
An ethnically based variability in the color of the iris and in retinal pigmentation exists, with darker irides having darker retinas behind them.
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A hospitalized child is receiving calcium via a peripheral IV site. Which action by the nurse is most important?
A. Assess the IV for blood return hourly. B. Document the infusion and child's response. C. Facilitate the next blood draw for calcium. D. Teach parents and child about the drug.
What should a nurse explain to a patient as a cause of triggering autonomic dysreflexia?
a. Loud sound b. Distended bladder c. Leg cramp d. Sudden chilling
A client with anemia is prescribed synthetic erythropoietin. When teaching the client about the therapeutic effect of this treatment, which is appropriate for the nurse to include?
A) Increase in platelets B) Increase in red blood cells C) Decrease in white blood cells D) Decrease in lymph fluid
The nurse is creating a community teaching demonstration focusing on the cause of blood pressure. When completing the visual aid, which body structures represent the mechanism of blood pressure?
A) Lung and arteries B) Heart and blood vessels C) Brain and sympathetic nervous system D) Kidneys and autonomic nervous system