The nurse is performing a vision examination. In assessing for color blindness, the nurse applies which knowledge? Select all that apply

a. It may be genetically inherited.
b. It is more common in males.
c. It may be the result of macular degeneration.
d. It may be the result of a lens defect of the eye.


A, B, C
Color vision is the ability to detect color. Color blindness may be genetically inherited, is usually seen in males, or may result from macular degeneration or other disease that affect the cones of the eye. The cones of the eye are part of the retina and are unrelated to the lens of the eye.

Nursing

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Which of the following situations is most likely to contribute to a health care–acquired infection?

a. A closed urinary drainage system b. Use of aseptic technique during dressing changes c. Foley catheter drainage bag touching the floor d. Changing IV access site when site is red and warm

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A client seen in the clinic expresses concern she may have Lyme disease. The nurse explains that some common symptoms in the early stage include:

A) severe swelling at tick bite mark within 24 hours. B) erythema, headache, fever, and chills. C) slight temperature and nausea. D) progressive confusion and disorientation.

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A patient taking ciprofloxacin (Cipro) reports pain and burning on urination. What is your best action?

a. Notify the prescriber that the patient's urinary tract infection is not responding to the drug. b. Remind the patient that the pain is related to the body eliminating the infectious bacteria. c. Instruct the patient to drink a full glass of water with each drug dose and increase fluids. d. Ask the patient whether blood or pus is also present in the urine.

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The nurse is caring for a client with hemolytic-uremic syndrome (HUS). The client is demonstrating oliguria. What does the nurse expect to find when reviewing the client's records?

A) A pattern of below-normal blood pressure B) Higher fluid output than fluid intake C) Elevated BUN and creatinine levels D) Increased glomerular filtration rate (GFR)

Nursing