The parents of a newborn are concerned that something is wrong with the newborn's eyesight. What should the nurse instruct the parents as being an expected finding in the newborn?
A) Produces tears when he cries
B) Follows a light to the midline
C) Has a white rather than a red reflex
D) Follows the finger a full 180 degrees
B
Feedback:
Instruct parents that the newborn cannot follow an object past the midline or appears to lose track of objects easily so there is nothing wrong with the eyesight. The newborn will not produce tears because the lacrimal ducts are not fully functioning. The parents will not be able to assess for a red reflex. The infant will not be able to follow a finger for a full 180 degrees.
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A patient comes into the clinic and is started on a new antihypertensive medication. In the past, this patient has not been taking the medication on a daily basis as per the drug treatment plan. Which strategy should the nurse use to get the patient
to take the prescribed medication? a. Tell the patient to follow the plan of care. b. Tell the patient he will have a stroke if he does not take his medication. c. Discuss with the patient the reasons that he is not taking his medication. d. Tell the patient he will have to see a doctor to get more medication.
A medication error occurred and the nurse is preparing to complete an incident report. Which information is required to thoroughly complete this report? Select all that apply
A) Name of client involved in the incident B) Location where completion of an incident report is located in the medical record C) Date and time of the incident D) Medication involved in the incident E) Number of hours the nurse was at work before the incident occurred
What should a nurse instruct a patient after a lumbar puncture to prevent a headache?
a. Lie flat. b. Lie on left side. c. Stay in semi-Fowler position. d. Ambulate in the room with assistance.
The nurse supports an older client's autonomy; which decision supports this ethical principle?
1. Client wants to see case management for Medicaid resources. 2. Client decides to stop further chemotherapy treatments. 3. Client is given more education regarding medication side effects. 4. Client treatment information is kept from client because of family request.