Following inspection of a client's internal eye structures, the nurse refers which client for further examination?
a. A client who has a slightly bulging optic disc
b. A client who has a slightly orange retinal surface
c. A client who has four sets of retinal blood vessels
d. A client who has a red reflex when the retina is illuminated
ANS: A
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A nurse is teaching a seminar to parents of pediatric clients in the neonatal intensive care unit about various forms of nutrition their children might receive. Which of the following statements made by the nurse are true? Select all that apply.
A) Breast milk can be delivered through tube feeding, if needed B) Breast milk has a limited hang time of 1 hour C) If your child receives nutrition through a central line, they will need to be gradually weaned off. D) If your child receives nutrition through a central line, they may be disinterested in eating once they switch to oral nutritional intake. E) If you need to continue bolus feedings at home, you will likely use a closed system for tube feeding
The patient is taking midodrine (ProAmatine). What is the most important nursing action to include in the plan of care for this patient?
A) Monitor urine output. B) Monitor blood pressure. C) Monitor heart rate. D) Monitor respirations.
The nurse clarifies that a vaccination or immunization gives the person a(n) _____ immunity
a. active acquired b. passive acquired c. passive d. natural
When using the ABC system of managing time, those items coded A include:
a. calling the pharmacy to see whether a drug insert is available for a patient. b. checking to see why a ventilator is alarming. c. organizing the medication cart. d. writing memos to remind everyone to contribute to the boss's birthday gift.