An elderly client is diagnosed with cataracts. The client complains of double vision and
says he sees halos around lights. What should the nurse expect to find in the client's eyes
during the nursing assessment?
A) Redness of lid margins
B) Cloudiness of the lens
C) Drooping of the eyelid
D) Dilation of the pupils
B
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A nurse who works for a pediatric clinic is preparing a 13-year-old patient with strep throat for the health care provider. Which of the following is the most important patient teaching informa-tion to prevent re-infection?
a. "Replace your toothbrush." b. "Floss thoroughly after each meal." c. "Store your toothbrush with a toothbrush cover." d. "Gargle with antiseptic mouthwash."
The nurse observes hirsutism in a female client. What does the nurse do next?
a. Assess for deepening of the voice. b. Assess personal hygiene habits. c. Document the finding. d. Prepare the client for a biopsy.
The client is receiving sodium bicarbonate intravenously (IV) for correction of acidosis secondary to diabetic coma. The nurse assesses cyanosis, slow respirations, and irregular pulse. What is the nurse's priority action?
1. Continue the infusion; the client is still in acidosis. 2. Increase the rate of the infusion and continue to assess the client for symptoms of acidosis. 3. Stop the infusion and notify the physician; the client is in alkalosis. 4. Decrease the rate of the infusion and continue to assess the client for symptoms of alkalosis.
A child has been diagnosed with a Wilms' tumor; preoperative nursing care would involve:
1. Careful bathing and handling. 2. Monitoring of behavioral status. 3. Maintenance of strict isolation. 4. Administration of packed red blood cells.