During the history, a client reports blurred vision, seeing double at times, and a glare from headlights from oncoming cars at night. Based on this information, what finding does the nurse expect to find on assessment of this client's eyes?
a. Anterior chamber depth is shallow
b. Red reflex is absent
c. Extraocular muscle movement is asymmetric
d. Retinal arteries are wider than retinal veins
ANS: B
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A client with disseminated intravascular coagulation (DIC) has a nursing diagnosis of Ineffective Tissue Perfusion. Which action is inappropriate for this nursing diagnosis?
A) Monitor the client's level of consciousness and mental status. B) Elevate the client's knees on the bed or with a pillow. C) Minimize the use of tape on the client's skin. D) Assess extremity pulses, warmth, and capillary refill.
A nurse is reviewing the medical records of several clients. In which of the following clients would the nurse identify that the use of an NSAID would be contraindicated? Select all that apply
A) A female client who is lactating B) A female client with a hypersensitivity to aspirin C) A female client in the first trimester of pregnancy D) A female client in the second trimester of pregnancy E) A female client in the third trimester of pregnancy
ADHD is found in approximately 3–17% of children and adolescents
Indicate whether the statement is true or false
The nurse using the Health Belief Model is evaluating a client's statement for competing preferences. Which statement should the nurse recognize is a competing preference?
A. "I will have to miss going to the gym because I have to work overtime." B. "I cannot make it to the gym because I do not have childcare." C. "I am going to skip the gym today and have lunch with a friend." D. "I have to attend a meeting with my child's teacher so I cannot go to the gym.