You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm from the bridge of the nose. You are assessing for:
a. confrontation reaction.
b. accommodation.
c. pupillary light reflex.
d. nystagmus.
B
Testing for accommodation involves asking the patient to look at an object at a distance (pupils dilate) and then to look at another, much closer object (pupils constrict).
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A client is being discharged with a prescription for sulfasalazine. Which of the following would the nurse include in the discharge teaching plan? Select all that apply
A) Take the drug 1 hour before or 2 hours after meals. B) Use protective sunscreen or cover exposed areas when going outside. C) Finish the entire course of sulfonamide even if you begin feeling better. D) Decrease fluid intake to prevent increased excretion of the drug. E) Keep all follow-up appointments.
The nurse is reviewing the postsurgical laboratory values of an older adult client. The client's erythrocyte sedimentation rate (ESR) is 20 mm/hr. The nurse initially responds to this data by:
a. asking the client if he or she has been di-agnosed with any chronic inflammatory diseases. b. recognizing that the value is normal for older adults. c. notifying the client's health care provider immediately. d. requesting that the laboratory rerun the test.
The nurse is reviewing with the client the three major layers of the heart wall and how they relate to the pericardium. What is the best description by the nurse to the client about the myocardium layer of the heart?
A) Thick, strong muscles making up the middle layer B) Thin outer layer of the cardiac wall C) A membrane lining the heart's interior wall D) Outermost layer anchoring the heart
Variable decelerations are a vagal response.
a. true b. false