The nurse performs an assessment of a client's extraocular movement and notes no difficulty. Which additional assessment data assist in confirming this finding?
a. No episodes of double vision
b. Synchronized blinking movements
c. No reports of headaches and dizziness
d. Both pupils constricting equally in re-sponse to light
A
The voluntary muscles of the orbit rotate the eye and coordinate eye movements to ensure that the retina of each eye receives an image at the same time, so that only a single image is perceived. If the client has reported double vision, this would indicate a problem with this coordination. The other answers are not related to extraocular eye movements.
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The nurse needs to administer a cardiac glycoside or digitalis to a client with tachycardia. In which case should the nurse withhold the dose until the physician is consulted?
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The nurse is reviewing the laboratory results from a patient who has been diagnosed with liver disease. Which finding would be consistent with this condition?
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