To examine the macula, the nurse should do which of the following?
a. Ask the patient to avoid looking at the light.
b. Trace an optic artery to its origin.
c. Move the ophthalmoscope about 2 disk diameters temporally.
d. Use the blue filter lens of the ophthalmoscope.
C
Examination of the macula includes moving the ophthalmoscope two disc diameters temporally; asking the patient to look at the light; and using the red-free filter lens. Because the macula is not clearly demarcated and because it is very light sensitive, you may have difficulty examining it. Note the macula's color, shape, and the presence of any lesions. Note the foveal light reflex. This is a small white light in the center of the macula (fovea centralis) that is reflected from the ophthalmoscope's light. The patient tends to turn away when the light strikes the fovea centralis, making it difficult to examine details of the macular area.
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A 57-year-old woman was diagnosed with osteoarthritis (OA) by her primary care provider several months ago and claims that she is achieving acceptable control of her symptoms by taking acetaminophen several times daily. The nurse should perform further assessment to ensure that the patient is doing which of the following?
A) Taking her acetaminophen with food B) Not exceeding 2,000 mg of acetaminophen in any 24-hour period C) Drinking sufficient amounts of fluids D) Not exceeding three doses per day
The health-care delivery system itself can create barriers to adherence to a treatment regimen. Which of the following system variables creates such a barrier?
1. Increasing copayments for care 2. Unrestricted formularies for drugs, including brand names 3. Increasing the number of people who have access to care 4. Treating a wider range of disorders
A client recovering from a left below-the-knee amputation is experiencing left foot pain. The nurse realizes the client is experiencing which type of pain?
1. Phantom limb pain 2. Acute pain 3. Chronic pain 4. Narcotic-induced pain
The nurse notes that the site of a client's peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter
After taking appropriate steps to care for the client, the nurse documents in the medical record that the client has experienced: 1. Phlebitis of the vein 2. Infiltration of the IV line 3. Hypersensitivity to the IV solution 4. Allergic reaction to the IV catheter material