How does a nurse assess movements of the eyes?

a. By assessing peripheral vision
b. By noting the symmetry of the corneal light reflex
c. By assessing the cardinal fields of gaze
d. By performing the cover-uncover test


ANS: C

Nursing

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Psychological assessments would be used for which of the following?

a. Determining placement in the facility b. Identifying strengths and weaknesses c. Initiating care planning d. All of the above

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A nurse is caring for a critically ill patient who has identified an unrelated friend as his closest relative. What is the nurse's most appropriate action in this situation?

A) Treat the friend as the patient's family. B) Do not allow the friend to visit as he is not family. C) Adhere to the legal definition of next of kin. D) Identify the next-closest-related family member.

Nursing

The nurse would instruct a client being taught to administer pilocarpine eye drops for glaucoma that the client

a. may feel some tingling in the fingers after administering the drops. b. may have some blurring of vision after the drops are instilled. c. will need to keep the eyes closed for 20 minutes after the drops are instilled. d. will need to take the pulse before administering the drops.

Nursing

The nurse is applying pneumatic compression boots on a post-operative craniotomy patient. The reason for this device is to reduce the risk of developing:

1. Meningitis 2. A deep vein thromboembolism 3. A cerebrospinal fluid leak 4. Seizures

Nursing