Opacities of the red reflex may indicate the presence of:
a. hypertension.
b. hydrocephalus.
c. cataracts.
d. myopia.
C
Opacities or dark spots of the red reflex may indicate the presence of congenital cataracts in the newborn.
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The nurse is giving report to the next shift and is using the situation, background, assessment, recommendation (SBAR) framework for communication. Which of these statements reflects the Background portion of the report?
a. "I'm worried that his gastrointestinal bleeding is getting worse." b. "We need an order for oxygen." c. "My name is Ms. Smith, and I'm giving the report on Mrs. X in room 1104." d. "He is 4 days postoperative, and his incision is open to air."
Which type of pain tends to occur along a well-defined path in a region of the body per-sistently?
a. Unrelenting pain b. Osteoarthritic pain c. Postoperative pain d. Postherpetic pain
Which techniques would the nurse use to elicit rebound tenderness in a patient's abdomen? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Start in an area away from the painful area. 2. Start with deep palpation. 3. Release pressure on the abdomen quickly. 4. Stop the assessment as soon as rebound tenderness is elicited. 5. Start the assessment by gently stroking the painful area of the abdomen.
The client takes a walk in the hallway and the nurse is present as the client has a seizure. Rank the nursing interventions in order beginning with the first action the nurse should implement
1. Remove nearby furniture. 2. Loosen restrictive clothing. 3. Maintain the client's airway. 4. Ease client to a safe location.