On inspection of the external eye structures of a Black American client, the nurse notices the sclera are not white, but appear a darker shade with tiny black dots of pigmentation near the limbus. The nurse documents this finding:
a. As an indication of a type of anemia.
b. As a hordeolum or sty.
c. As jaundice.
d. As a normal racial variation.
ANS: D
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A client has an unsteady gait related to arthritis. His daughter states he walks better when he is at the grocery store pushing a cart. The nurse should recommend
A) A total knee replacement B) An appointment with the orthopedist C) The client use a wheeled walker D) The physician review the medications
The skin over a Stage II pressure ulcer is
A. deeply eroded. B. blistered or superficially broken. C. blue in color. D. intact but discolored.
Poor vision increases the risk of accidents because
a. a person may not see objects in his or her path b. a person may not be able to see clearly and read medicine labels correctly c. warnings and labels can be misunderstood d. all of these
The nurse is obtaining a history of a patient's present illness. The PQRST system is used for the interview. What does the R stand for in this system?
a. Random b. Region c. Result d. Recent