The nurse is observing a patient read a pamphlet. The nurse notes that the patient has her head tilted to the side. Which inference can the nurse make about these behaviors?

a. The patient has poor vision.
b. The patient is experiencing nystagmus.
c. The patient is experiencing photophobia.
d. The patient is experiencing diplopia.


D
Tilting the head may indicate a visual disturbance such as double vision or that one eye is stronger than the other. Squinting may be associated with poor vision. Nystagmus refers to invo-luntary eye movements. Shading the eyes may be noted with photophobia.

Nursing

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Nurses believe that there is a need to change policy for their clinical unit. What is the first step these nurses should take when considering this need for new policy?

1. Looking for ethical arguments regarding the policy 2. Finding out who has authority to change the policy 3. Determining how many people are affected by the policy 4. Identifying the problem

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Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?

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A nurse preceptor asks a new graduate to identify the risk factors for necrotizing enterocolitis. Which response by the student would indicate that further clarification is needed? (Select all that apply.)

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The nurse is caring for a patient who is receiving PN. As part of therapy, the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?

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