Which client is at greatest risk for developing vision problems?

A. 28-year-old woman in the postpartum phase of pregnancy
B. 28-year-old man who has diabetes mellitus
C. 58-year-old man who takes aspirin daily for anticoagulation
D. 58-year-old woman using topical ointments daily for dry skin


B
The hyperglycemia that characterizes diabetes mellitus causes numerous vascular problems in the eye and damages the nerves. Diabetes mellitus is a major cause of blindness in Canada and the United States. Although good control of blood glucose levels delays visual problems, it does not eliminate it in the diabetic population.

Nursing

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In the first trimester, ultrasonography can be used to gain information on:

a. Amniotic fluid volume. b. Uterine abnormalities. c. Placental location and maturity. d. Cervical length.

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A client who has begun receiving TPN with lipids develops shaking chills, shortness of breath, and chest pain. The priority action by the nurse is to immediately

a. call the physician. b. obtain a 12-lead ECG. c. stop the infusion. d. take a set of vitals.

Nursing

To assess the child with severe burns for adequate perfusion, the nurse monitors which area?

a. Distal pulses b. Skin turgor c. Urine output d. Mucous membranes

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The nurse is reviewing laboratory results for a patient who has HIV. Which result would be strongly suggestive of a diagnosis of AIDS?

a. CD4+ = 180/µL b. CD4+ percentage = 68% c. CD8+ = 650/µL d. CD4+/CD8+ ratio = 1.5

Nursing