The 80-year-old patient on the medical-surgical unit says to the nurse, "My vision is blurry and I see halos around lights. The glare from the sun really bothers me."
Upon assessment, the nurse notes a cloudy film over the lens of the eye. Based on the patient's complaints and the nurse's assessment, the nurse associates these findings with which of the following?
a. Strabismus
b. Cataracts
c. Glaucoma
d. Presbyopia
ANS: B
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A patient is receiving chlorothiazide (Diuril), a thiazide diuretic for hypertension. What nursing action is most important for prevention of complications?
a. Measure output b. Increase fluid intake c. Assess for hypokalemia d. Assess for hypernatremia
A client states inability to swallow a large capsule ordered. What should the nurse do first?
a. Consult with the pharmacist regarding other available forms for this drug. b. Consult with the health care provider regarding client difficulty with the capsule size. c. Dissolve the capsule's contents in warm water. d. Obtain and administer the elixir form of the drug.
Nurse L works on an acute care for elders (ACE) unit of a county hospital. Which of the following sources should the nurse utilize as standards for practice? Select all that apply
A) The American Nurses Association (ANA) standards B) The Joint Commission C) Hospital-specific standards of practice D) State and federal regulations
Which of the following is a fundamental belief of those who hold to the positivist paradigm?
A) The researcher is objective and independent of those being studied B) The researcher cannot interact with those being studied C) The researcher instructs those being studied to be objective in providing information D) The distance between the researcher and those being researched is minimized to enhance the interactive process