During an eye assessment, a nurse asks the client to cover one eye with a card as the nurse covers his or her eye directly opposite the client's covered eye
The nurse moves an object into the field of vision and asks the client to tell when the object can be seen. This assessment technique collects what data about the client's eyes?
a. Symmetry of extraocular muscles
b. Visual acuity in the uncovered eye
c. Peripheral vision of the uncovered eye
d. Consensual reaction of the uncovered eye
ANS: C
You might also like to view...
The nursing instructor recognizes signs of moderate anxiety when a student does what before taking a test?
a. Studies for 6 hours b. Sleeps 6 hours because of fatigue c. Vomits d. Argues about the scheduling of the test
Inclusion criteria differ from sample characteristics. Which of the following are inclusion criteria for a study conducted on an acute care ward of a major hospital? (Select all that apply.)
a. Mean age 62, with range from 37 through 87 b. Twenty-four male, twelve female c. Glasgow Coma Scale of at least 14 d. Twenty-one post hip replacement, fifteen post knee replacement e. Able to read and write English
What diagnosis for abdominal pain best describes his symptoms and signs?
A 76-year-old retired farmer comes to your office complaining of abdominal pain, constipation, and a low-grade fever for about 3 days. He denies any nausea, vomiting, or diarrhea. The only unusual thing he remembers eating is two bags of popcorn at the movies with his grandson, 3 days before his symptoms began. He denies any other recent illnesses. His past medical history is significant for coronary artery disease and high blood pressure. He has been married for over 50 years. He denies any tobacco, alcohol, or drug use. His mother died of colon cancer and his father had a stroke. On examination he appears his stated age and is in no acute distress. His temperature is 100.9 degrees and his other vital signs are unremarkable. His head, cardiac, and pulmonary examinations are normal. He has normal bowel sounds and is tender over the left lower quadrant. He has no rebound or guarding. His rectal examination is unremarkable and his fecal occult blood test is negative. His prostate is slightly enlarged but his testicular, penile, and inguinal examinations are all normal. Blood work is pending. A) Acute diverticulitis B) Acute cholecystitis C) Acute appendicitis D) Mesenteric ischemia
A patient has been medicated during an asthma attack. Which assessment finding indicates to the nurse that the therapy is ineffective?
a. Trachea is at the midline. b. Oxygen saturation is 96%. c. Respiratory rate is 22 breaths per minute d. Peak expiratory flow is 40% below expected value