The nurse is doing an initial assessment on an 8-year-old admitted to the pediatric unit in sickle cell crisis. When inspecting the eyes, the nurse finds that they are normal. How would the nurse chart these findings?

A) Eyes are PERRL(A) with corneal light reflexes equal bilaterally
B) Eyes are PERRL(A). EOMs are at 180o degrees. Corneal light reflexes are equal
C) Eyes are WNL
D) Eyes are PERRL(A) with EOMs at 180° bilaterally


B

Nursing

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A community health nurse uses quantitative measures for planning family care for which reason?

A) It provides information about essential characteristics. B) It ensures an adequate database for planning nursing actions. C) It eliminates the need for priority setting with the plan of care. D) It provides a means to assess progress toward goals.

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A 37-year-old woman comes to the emergency department with a broken humerus. The patient lives in an area with a high crime rate and low socioeconomic demographic. During her examination, the patient states, "I was fighting with my husband

He pushed me and I fell, landing on the coffee table. That is how I broke my arm." Why might this patient be so forthcoming in her disclosure of violence? A) Decreased social stigma about violence B) Low ethnic rate of acceptance of violence C) Increased cultural statistics on violence D) Decreased environmental pressure for violence

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A patient flinches when a nursing assistant tries to reposition her in her bed. This patient's response to this physical contact is an example of

A) breath holding. B) restlessness. C) guarding. D) abnormal respirations.

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____________________ is the stage of the grieving process in which the patient becomes irritable with others.

Fill in the blank(s) with the appropriate word(s).

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