The patient tells the nurse that he is legally blind. This information provides the nurse with which information to use in planning care?
a. No vision enhancement techniques would be appropriate for this patient, because he is totally blind.
b. This patient probably has some light perception, but no usable vision.
c. This patient has some usable vision, which enables him to function at an acceptable level.
d. Further questioning is needed to determine how this patient's visual impairment affects his normal functioning.
D
"Legal blindness" refers to individuals with a maximum visual acuity of 20/200 with corrective eyewear and/or visual field sight capacity reduced by 20 degrees. Categories have been established to help determine the exact extent of the vision loss and what assistive measures are appropriate for the individual. The nurse will need more information as to the exact extent of the vision loss for this patient.
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The results of a patient's Weber test indicate a conductive hearing loss in the right ear. This is based on a report of
a. hearing the sound equally in both ears. b. hearing the sound louder in the left ear. c. hearing the sound louder in the right ear. d. not hearing the sound in either ear.
When observing an infant for symptoms of increased intracranial pressure, the earliest symptom would be detected by measurement of
a. urine output c. blood pressure b. head circumference d. respirations
The National Prevention Strategy provides:
a. recommendations on what can be done to improve population health. b. assistance in interpreting Healthy People 2020. c. a basis for public health nursing practice. d. health risk appraisal instruments.
Based on this description, what is your most likely diagnosis?
A 29-year-old computer programmer comes to your office for evaluation of a headache. The tightening sensation is located all over the head and is of moderate intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-the-counter medication; it has dulled the pain but not taken it away. A) Tension B) Migraine C) Cluster D) Analgesic rebound