The nurse suspects that a patient has vision changes caused by a stroke. What did the nurse assess to make this determination?
a. Patient asks that all items be placed on the right side of the bed.
b. Patient turns head away when blood is being drawn from an arm.
c. Patient looks down at the floor when sitting on the side of the bed.
d. Patient does not follow with the eyes as the nurse walks around the room.
ANS: D
If the patient's eyes do not follow the nurse when moving around the room, there is a good chance that the patient has a deficit in that visual field. A. B. C. Placing items on the right side of the bed, turning the ahead away while blood is being drawn, and looking down at the floor when sitting on the side of the bed do not indicate vision changes caused by a stroke.
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The nurse is assessing the respiratory status of a patient who is experiencing an exacerbation of her emphysema symptoms. When preparing to auscultate, what breath sounds should the nurse anticipate?
A) Absence of breath sounds B) Wheezing with discontinuous breath sounds C) Faint breath sounds with prolonged expiration D) Faint breath sounds with fine crackles
A patient is receiving large doses of chlorpromazine (Thorazine) and begins to exhibit extrapy-ramidal signs of involuntary muscle movement. Which classification of drugs should the nurse anticipate will be added to the patient's protocol?
a. Antiparkinsonian b. Antihypertensive c. Anticonvulsant d. Antiemetic
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a. "Do you drink grapefruit juice?" b. "Do you take seizure medication?" c. "Do you take your contraception with milk?" d. "Do you use laxatives regularly?"