During an assessment of a patient, the nurse finds the patient experiences vertigo. Which sensory deficit will the nurse assess further?
a. Neurological deficit
b. Visual deficit
c. Hearing deficit
d. Balance deficit
ANS: D
Vertigo is a result of vestibular dysfunction and often is precipitated by a change in head position. Neurological deficits include peripheral neuropathy and stroke. Visual deficits include presbyopia, cataracts, glaucoma, and macular degeneration. Hearing deficits include presbycusis and cerumen accumulation.
You might also like to view...
To assess fundal contraction 6 hours after cesarean delivery, the nurse should
a. Palpate forcefully through the abdominal dressing. b. Gently palpate, applying the same technique used for vaginal deliveries. c. Place hands on both sides of the abdomen and press downward. d. Rely on assessment of lochial flow rather than palpating the fundus.
Care for the child with acute idiopathic thrombocytopenic purpura (ITP) includes which therapeutic intervention?
a. Splenectomy b. Intravenous administration of anti-D antibody c. Use of nonsteroidal anti-inflammatory drugs (NSAIDs) d. Helping child participate in sports
The nurse caring for a client recovering from a suicide attempt determines that care has been beneficial to eliminate future suicide attempts when the client states which of the following?
1. "I am not looking forward to going home with my parents.". 2. "I am looking forward to going to school and seeing my friends.". 3. "Even though I failed this time, I lived to think about it again.". 4. "I now know that threatening suicide will help me get what I want from my parents.".
Syringe pumps should never be used for pediatric patients
Indicate whether the statement is true or false