The nurse is assessing the client's eyes. Which assessment finding supports the diagnosis of glaucoma?
1. Eyeballs are firm to palpation.
2. Pupils are constricted bilaterally.
3. Central vision is impaired.
4. The client has a history of syphilis.
Correct Answer: 1
A client's eyeballs that are firm when palpated may have glaucoma. Dilated, not constricted, pupils are most often associated with glaucoma. Impaired central vision is associated with macular degeneration. Clients who have been infected previously with syphilis may develop a condition called Argyll Robertson pupils. This is when the client's pupils are bilaterally constricted, small, irregular, and nonreactive to light.
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The nurse is developing a policy and procedure for pain management in a critical care unit. Based on national standards, what should the nurse include?
A) Pain assessment in critical care must depend on vital sign monitoring as patients are not verbal. B) Continuous intravenous opioids are preferred over as-needed dosing. C) Intravenous sedation of agitated patients takes priority over pain control. D) Pain control is an independent nursing function and responsibility.
A client tells the nurse that his wife passed away 3 years ago and he has nothing to do except visit with acquaintances at the neighborhood bar. The nurse realizes this client is demonstrating evidence of:
1. Bipolar disorder. 2. Depression. 3. Extended grief. 4. Sadness.
Calculate the amount to administer: ________ (round to nearest tenth). 
Ordered: 175 mg PO daily for 3 daysOn hand: See label
Fill in the blank(s) with the appropriate word(s).
Which of the following actions would be the least expensive approach to treating chronic diseases?
a. Choose healthy lifestyle behaviors to retain health b. Continue media campaigns encouraging early detection and treatment c. Encourage patients to seek care at a local neighborhood health clinic d. Suggest self-therapies that have been demonstrated to be effective