The nurse is caring for an individual with a head injury and notes unequal pupils. Which term should the nurse use to document this finding?
a. Aphasia
b. Nystagmus
c. Anisocoria
d. Ophthalmoplegia
ANS: C
Anisocoria describes unequal pupils. A. Aphasia is difficulty speaking or communicating. B. Nystagmus is involuntary movement of the eyes. D. Some patients may be unable to move one or both eyes in a specific direction; this is called ophthalmoplegia.
You might also like to view...
The best approach a nurse can use to gain information relating to a patient's potential for suicide is to ask:
A. "What do you plan to be doing 5 years from now?" B. "Does your family know you are considering suicide?" C. "What have other patients told you about their suicide attempts?" D. "Are you thinking of killing yourself now?"
To prevent the most common complication associated with a hip fracture, the nurse will instruct the patient to:
A) Take the prescribed stool softener daily B) Use the prescribed oxygen with ambulation C) Increase fluid intake D) Avoid movement of the feet and ankles
Ordered: 2 g of lidocaine in 250 mL D5W infuse at 50 mL/h. The hourly amount of lidocaine infusing is
_____________. Fill in the blank(s) with correct word
A client goes to a free-standing clinic to be seen by a doctor for a mild stomach ailment. The client has utilized which of the following types of health care services?
1. Preventive care 2. Primary care 3. Secondary care 4. Tertiary care