A nurse is caring for a client diagnosed with Ménière's disease. The nurse plans care, understanding that this disorder is characterized by:
1. Dizziness
2. Blurred vision
3. Hemianopsia
4. Photophobia
1
Rationale: Ménière's disease is a disorder of the inner ear characterized by a dizziness and loss of balance. This requires the addition of safety to the care plan. "Blurred vision," "hemianopsia," and "photophobia" are incorrect.
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A patient is admitted to the critical care unit with the diagnosis of massive head trauma caused by an MVA. The patient is unresponsive and on mechanical ventilation. EEG is negative for brain waves. The family has agreed to organ donation
The nurse turns the patient's head quickly from side to side. The eyes do not move. The nurse knows this is the result of a loss in the a. oculovestibular reflex. c. oculocephalic reflex. b. corneal and jaw reflexes. d. pupillary reflexes.
Which issues are considered impediments to a fully functional electronic health record (EHR) system? (Select all that apply.)
a. Cost b. Standardization c. Care coordination d. Organizational culture e. Privacy and confidentiality f. Education
In Eastern medicine, illness and disease are viewed as which of the following? Select all that apply
1. Balance of energy in the body 2. A defect of energy in the body 3. Functional changes in the body 4. An energy imbalance in the body 5. Disharmony of energy in the body
The nurse is caring for a patient who has acute pharyngitis caused by Candida albicans. Which action is appropriate for the nurse to include in the plan of care?
a. Avoid giving patient warm liquids to drink. b. Assess patient for allergies to penicillin antibiotics. c. Teach the patient about the need to sleep in a warm, dry environment. d. Teach patient to "swish and swallow" prescribed oral nystatin (Mycostatin).