How would a nurse assess a patient for pupillary accommodation?
A) Using an ophthalmoscope, check the red reflex.
B) Ask the patient to focus on a finger and move the patient's eyes through the six cardinal positions of gaze.
C) Ask the patient to focus on an object as it is brought closer to the nose.
D) Ask the patient to read the smallest possible line of letters on the Snellen chart.
C
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The physician orders 1,000 ml of IV fluid to infuse in 10 hours. The drop factor is 10 drops/ml. The nurse should set the infusion to run at how many drops per minute?
a. 10 drops per minute c. 21 drops per minute b. 17 drops per minute d. 100 drops per minute
A client is beginning to take trimethoprim-sulfamethoxazole (Bactrim) for a recurrent urinary tract infection (UTI). The nurse would give the client which of the following instructions regarding this medication?
1. Discontinue medication when symptoms subside. 2. Expect rashes or skin changes as a result of therapy. 3. Take most doses early in the day when fluid intake is greatest. 4. Take each dose with 8 oz of water, and drink extra water each day.
A 13-year-old girl has been brought to the outpatient clinic with complaints of pain in her vaginal region after being sick with Influenza A for the last week. The girl states that she can see a raised edge, and it is "oozing."
The nurse should anticipate: 1. Providing a Sitz bath and ice. 2. Providing education about proper hygiene to the area. 3. Placing a Foley catheter for urination in order to keep the area clean. 4. Educating the girl about not wearing cotton underwear.
A frightened young woman calls the emergency department and tearfully tells the nurse, "I've been raped! Please help me!" Before telling the client what to do, the nurse needs to know:
A) If she was injured, was in a safe place, and had transportation available B) If she knew her assailant, knew her location, and had notified the police C) If she has insurance, if she could get to the hospital by herself, and if pregnancy is a possibility D) If she had bathed, douched, or changed clothes