The nurse is assessing the eye changes in an older adult. Which changes lead the nurse to consult with the health care provider? (Select all that apply.)
a. Increasing difficulty perceiving greens, blues, and violets
b. Increasing redness in the eyes
c. Acute pain in the eyes
d. Sudden change in acuity
e. Need for additional lighting for reading
f. Need to hold newspaper farther away to read
B, C, D
Increasing redness, acute pain, and sudden changes in acuity represent manifestations that might be indicative of a more serious complication and need the provider's evaluation. Delay could cause harm. The other signs are associated with the aging process and do not require immediate evaluation.
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A client at a health care facility is describing signs and symptoms that include polyuria. The nurse should recognize what aspect of this client's condition?
A) Greater than normal urinary volume B) Inadequate elimination of urine C) Absence of urine D) Difficult or uncomfortable voiding
The nurse anticipates that a patient experiencing neuropathic pain caused by lumbar disc herniation may be treated with:
A) Nonsteroidal anti-inflammatory drugs, which are specific for neuropathic pain B) Opioids for moderate pain C) Tramadol (Ultram) for mild pain D) Gabapentin (Neurontin), which is specific for neuropathic pain
Which client statement indicates the need for clarification regarding the instructions for collecting a 24-hour urine specimen for assessment of endocrine function?
a. "I will continue to take all my prescribed medicine during the test." b. "I will add the preservative to the con-tainer at the beginning of the test." c. "I will start the collection by saving the first urine of the morning." d. "At the end of 24 hours, I will urinate and save that last specimen."
Which medications contribute to hyperglycemia in the patient with diabetes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Digoxin (Lanoxin) 2. Calcium channel blockers such as nifedipine 3. Sympathomimetics such as dopamine 4. Glucocorticoids such as dexamethasone 5. Thiazide diuretics such as hydrochlorothiazide/HCTZ