The nurse is conducting a physical assessment of a male patient who has been admitted to the hospital unit. The nursing documentation on the unit specifies an assessment of the patient's direct and consensual pupillary response
How should the nurse assess the patient's consensual pupillary response?
A) Ask the patient to follow the movement of pen from several feet away to near the tip of the patient's nose
B) Ask the patient to look straight ahead while bringing a penlight in from the periphery of the patient's vision
C) Shine a penlight in one of the patient's eyes while observing the response of the opposite eye
D) Shine a penlight in the patient's eye while asking him to identify a common object with the other eye
C
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A child with night terrors is administered a benzodiazepine agent. Why must the nurse follow the child's health status closely?
A) The child is more likely to develop insomnia. B) The child is more likely to develop dependence. C) The child is more vulnerable to adverse effects. D) The child is more vulnerable to hepatotoxicity.
A spinal cord injury with some of the spinal cord tracts affected while others are able to carry impulses normally is called:
a. incomplete c. complete b. partial d. total
The community nurse is visiting a victim of rape at home. Which observation indicates that crisis intervention goals have not been met?
A) Husband hopes to meet the rapist in a back alley 1 day. B) Victim and husband sit with the nurse at the kitchen table and discuss feelings. C) Victim states that intimate relationship with the husband has resumed without incident. D) Husband holds the victim's hand and expresses endearing terms while the victim smiles.
A nurse wants to have a clear understanding of the overall health status of a community and to identify populations at risk. Which of the following actions should be taken by the nurse?
a. Complete a community assessment b. Perform a population needs assessment c. Evaluate past programs in the community d. Develop program resources for the com-munity