The nurse realizes that a client, diagnosed with chronic dry eyes, may have a disorder of the lacrimal gland because it:
1. covers the eye for protection.
2. produces tears to lubricate the eye.
3. helps the eye keep its shape.
4. provides blood to the eye.
2
The lacrimal gland moistens the eye by producing and distributing tears to lubricate the eye. The lacrimal gland does not cover the eye for protection, help the eye keep its shape, or provide blood to the eye.
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After delegating to an unlicensed assistive personnel (UAP) the task of completing a bladder scan examination for a client, the nurse evaluates the UAP's performance
Which action by the UAP indicates the nurse must provide additional instructions when delegating this task? a. Selecting the female icon for all female clients and male icon for all male clients b. Telling the client, "This test measures the amount of urine in your bladder." c. Applying ultrasound gel to the scanning head and removing it when finished d. Taking at least two readings using the aiming icon to place the scanning head
A patient, age 53, is receiving chemotherapy for Hodgkin's disease, stage IV. As a side effect of chemotherapy, he is experiencing stomatitis. Which nursing diagnosis would be identified for planning the nursing interventions for this patient?
a. Fatigue, related to stomatitis b. Imbalanced nutrition: less than body requirements c. Risk for disuse syndrome d. Risk for ineffective breathing pattern
The nurse is preparing to perform a head and neck assessment on a client with Parkinson's disease. Which finding should the nurse anticipate?
A. Mask-like expression. B. Exophthalmos. C. Enlargement of the head. D. Facial paralysis.
The reticular formation is located in the
A. medulla B. pons C. cerebellum D. limbic system