A nurse assesses an 80-year-old patient for age-related changes to the eye. What potential changes should the nurse anticipate? (Select all that apply.)
a. Decreased tear production
b. Eyeball sunk deep in orbit
c. Hyperopia
d. Eye lashes diminished
e. Arcus senilis
A, B, C, E
Eyelash diminution is not a consistent finding in older adults. All of the other options are com-mon eye changes related to advancing age.
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Reward power and coercive power are commonly used to influence others. The effective use of rewards for staff nurses includes which of the following? Select all that apply
a. increased salary for obtaining the next rung on the clinical ladder b. formal recognition before one's nursing peers at an awards ceremony c. one additional paid day off for each year you are with the organization d. increased workload for displaying excellence in patient care outcomes
In which of the following situations would a nurse caring for a hospitalized client hold the dose of propranolol (Inderal)? Select all that apply
A) Pulse less than 60 bpm B) Blood glucose less than 100 mg/dL C) Irregular pulse D) Systolic pressure less than 90 mm Hg E) Diastolic pressure greater than 90 mm Hg
The nurse uses the PLISSIT format in helping clients who have sexual dysfunction. Which action by the nurse best reflects the 'LI' section of this format?
A) Give the client accurate but concise information in regard to any sexual questions that might be asked. B) Review current research literature associated with the sexual concerns of the client and partner. C) In order to avoid causing anxiety, limit the amount of information given to clients regarding adverse sexual side effects of treatments or medications. D) Start information using slang terms to refer to sexual body parts because the client is not likely to know the proper terms.
A patient is diagnosed with a terminal illness. Who is usually responsible for deciding what, when, and how the patient should be told?
A) family B) clergy C) nurse D) physician