Which change in the retina most likely indicates a hypertensive disorder of pregnancy?
a. arterial constriction c. hemorrhage
b. exudates d. vascular tortuosity
A
Arterial constriction of retinal vessels can lead to blurred vision, scotomata, and rarely retinal detachment. Arterial constriction occurs with hypertensive disorder of pregnancy (HDP).
Exudates, hemorrhage, and vascular tortuosity do not occur with HDP; however, they do occur with chronic hypertension.
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Which patient should the nurse prioritize as needing emergent treatment, assuming no other injuries are present except the ones outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing B) A patient with a sore neck who was immobilized in the field on a backboard with a cervical collar C) A patient with a possible fractured tibia with adequate pedal pulses D) A patient with an acute onset of confusion
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A) Insert an oropharyngeal airway. B) Perform the jaw thrust maneuver. C) Perform endotracheal intubation. D) Perform a cricothyroidotomy.
The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy. Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Document the amount of drainage every eight hours. b. Obtain samples of drainage for culture from the system. c. Assess patient pain level associated with the chest tube. d. Check the water-seal chamber for the correct fluid level.
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A) Absolute risk B) Baseline risk C) Relative risk D) Sum total risk