When examining the distance vision of a 4-year-old child, the nurse would use which of the following?
a. Ishihara plates c. Snellen chart
b. Rosenbaum card d. Snellen E chart
D
When testing visual acuity (distance vision) of an illiterate or preschool child (ages 3 to 6), the Snellen E chart is used instead of the standard Snellen alphabet chart. The Snellen E chart shows the letter "E" facing in different directions. The child is asked to identify the direction in which the "legs" of the E point. The Ishihara plates are not used to examine the distance vision of a 4-year-old child. The Rosenbaum card is used to examine near vision. The individual should hold the Rosenbaum card 14 inches from the face without moving it and read the smallest line of print.
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A 78-year-old woman with COPD and degenerative arthritis affecting her lower back and legs says she cannot exercise. She stays at home and has someone deliver her food and other necessities. What would be an appropriate intervention?
a. Suggest that she accept her limitations and live as best she can b. Explain to her the importance of exer-cise—even for someone with her limitations. Suggest that she use a walker or wheelchair, pace herself slowly, and use oxygen if necessary, but to try to get out, go to the market, and interact with people c. Suggest that she consider moving to an as-sisted living facility d. Both B and C
The nurse explains that because _________________ beverages cause diuresis, they are not good choices for fluid replacement in a child who is dehydrated
ANS:
Which of the following assessments would lead you to believe a postpartal woman is developing a urinary complication?
A) At 8 hours postdelivery she has voided a total of 100 mL in four small voidings. B) She has voided a total of 1000 mL in two voidings, each spaced 1 hour apart. C) She tells you she is extremely thirsty. D) Her perineum is obviously edematous on inspection.
You are caring for a 16-year-old male who was hurt when he fell from a personal watercraft. He has refused to perform his physical therapy and has now developed contractures in his arms and legs. He still continues to resist therapy
Your nursing interventions for this patient would include: A) Asking his friends to convince him to work harder B) Allowing the patient to make decisions related to his care C) Telling him that he will only worsen his pain by not cooperating with therapy D) Setting strict limits on this patient's behavior