The APRN is assessing the eyes of a patient with long-standing uncontrolled hypertension. What might the APRN visualize during an assessment with an ophthalmoscope?
A) AV nicking
B) Dilated veins
C) Dilated arteries
D) Brass wiring
A
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The nurse is caring for a Vietnamese-American admitted to the intensive care unit as a result of malnutrition. The patient is unable to walk because of his malnutrition,
and he has developed a pressure ulcer from lying in bed constantly without changing positions. The family believes that the patient is depressed and that is why he stopped getting up. When planning this patient's care, the nurse should: a. develop multiple nursing diagnoses. b. develop only one nursing diagnosis to aid in focusing. c. focus on the physical issues facing this patient. d. deal primarily with the patient's psychological needs.
A nurse is providing discharge teaching for a patient who will be going home on cyclobenzaprine (Flexeril) prescribed for his acute musculoskeletal pain. The nurse will stress that the patient should avoid what?
A) Drinking alcohol B) Taking antiemetics C) Taking antihistamines D) Taking antibiotics
The nurse is preparing to conduct a mental status examination with a patient. Which areas will the nurse include when assessing the patient's appearance and behavior? (Select all that apply.)
A) Level of consciousness B) Posture C) Articulation of words D) Facial expressions E) Orientation
Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung disease?
a. Monitor rectal temperature every 4 hours and report an elevation greater than 38.5° C. b. Assess stools after surgery. c. Keep the child NPO until bowel sounds return. d. Maintain IV fluids at ordered rate.