When a penlight is shined into the eyes of a
patient who is prescribed brimonidine (Alphagan P), the pupils of both eyes remain equally dilated. What is your best action?
a. Document the response as the only action.
b. Hold the next dose and notify the prescriber.
c. Assess the patient's hand grasp strength bilaterally.
d. Remind the patient to wear sunglasses when outdoors.
ANS: D
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The nurse understands that the nursing process step of implementation has several steps of its own. List the steps of implementation in the appropriate order, from first to last
Standard Text: Click and drag the options below to move them up or down. Choice 1. Implementing nursing orders Choice 2. Reassessing the client Choice 3. Delegating and supervising Choice 4. Documenting nursing actions Choice 5. Determining the nurse's need for assistance
In preparation for a sport's physical examination, the nurse is assessing the height of a 16-year-old male client. The client measures 5?5?. The client voices concerns about his lack of stature. He asks if he has reached his full height
Which of the responses by the nurse is most appropriate? 1. "By age 16, you are finished growing." 2. "Is your father very tall?" 3. "Why do you hope to grow taller?" 4. "You may continue to grow into your early 20s."
A person is in cardiac arrest. Adequate breathing is determined by which of the following?
a. Counting respirations for 30 seconds b. Looking to see if the chest rises and falls on one side c. Listening for the escape of air d. Feeling for the flow of air on your fingers
When teaching a patient who is taking thiazide diuretics, the nurse will encourage the patient to increase the intake of which electrolyte?
a. Calcium b. Sodium c. Potassium d. Magnesium