The nurse is assessing a newborn's eyes. Which of the following would the nurse identify as normal? (Select all that apply.)
A) Slow blink response
B) Able to track object to midline
C) Transient deviation of the eyes
D) Involuntary repetitive eye movement
E) Absent red reflex
B, C, D
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The type of reasoning that is similar to putting together a puzzle without seeing the whole picture is
1. Deductive reasoning 2. Inductive reasoning 3. Interpretive reasoning 4. Purposeful reasoning 5.
The nurse is caring for an infant with brown eyes and recalls that which portion of the vascular tunic is responsible for the color of the eye?
a. cornea c. retina b. iris d. sclera
Family members of a dying patient are arguing about terminating life support. The nurse educates the two opposing groups individually about terminating life support and discusses the dying process. This is an example of:
a. delegation. b. negotiation. c. clinical judgment. d. purposeful inaction.
Of the following nursing interventions, which is written to be descriptive and directive?
1. Teach client and significant others measures to relieve side effects of antidepres-sants 2. Assist client to interact with other clients during free time on unit 3. Praise client for improved personal hygiene 4. Check lithium levels