During a routine physical examination of a 62-year-old female patient, the nurse practitioner identifies xanthelasma around both his eyes. What is the significance of this finding?
A. High potential for future blindness and requires immediate referral
B. None, normal variant of aging process
C. Abnormal lipid metabolism requiring medical management
D. Hereditary variant that is of no consequence but requires watchful waiting
C
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The nurse is caring for a patient who is receiving oxygen therapy for pneumonia. How should the nurse best assess whether the patient is hypoxemic?
A) Assess the patient's level of consciousness (LOC). B) Assess the patient's extremities for signs of cyanosis. C) Assess the patient's oxygen saturation level. D) Review the patient's hemoglobin, hematocrit, and red blood cell levels.
Following surgery for hypersecretion of growth hormone, a patient complains of a supraorbital headache
The nurse suspects a possible CSF leak and would take which actions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Test any nasal drainage for glucose. 2. Maintain bed rest. 3. Inform the patient that headaches are expected. 4. Keep the head of the bed (HOB) elevated 30 degrees. 5. Administer antibiotics as ordered.
Following surgical debridement, a patient with third-degree burns does not bleed. What does the nurse understand about this situation?
1. The procedure will need to be repeated. 2. The patient will no longer need this procedure. 3. The patient will need to be premedicated prior to the next procedure. 4. The patient should have an escharotomy instead.
"Direct assignment" is another way of describing functional nursing
True False