The nurse assesses a reduction in a patient's peripheral vision. Which additional measure would be a priority during the assessment of this patient?
1. intraocular pressure assessment
2. cranial nerve assessment
3. neck range of motion assessment
4. retinal assessment
Correct Answer: 1
Glaucoma is a condition characterized by optic neuropathy with gradual loss of peripheral vision and, usually, increased intraocular pressure of the eye. Measuring intraocular pressure is the priority, so that glaucoma can be diagnosed and appropriately treated. Cranial nerve assessment, retinal assessment, and neck range of motion may all be performed as part of patient assessment; however, measuring intraocular pressure is the priority so that glaucoma can be diagnosed and appropriately treated.
You might also like to view...
The nurse is educating a daughter on how to properly feed her older mother. Following education, which observation by the nurse, indicates that the daughter still needs additional instruction?
1. She checks to make sure the patient's dentures are in place. 2. She makes sure that each bite is swallowed before providing the next bite. 3. She reminds the patient to chew the food after being placed in the patient's mouth. 4. She makes sure that the patient remains in an upright position for 15 minutes after eating.
A patient in the intensive care unit with acute decompensated heart failure (ADHF) complains of severe dyspnea and is anxious, tachypneic, and tachycardic. All of the following medications have been ordered for the patient
The nurse's priority action will be to a. give IV morphine sulfate 4 mg. b. give IV diazepam (Valium) 2.5 mg. c. increase nitroglycerin (Tridil) infusion by 5 mcg/min. d. increase dopamine (Intropin) infusion by 2 mcg/kg/min.
A patient is diagnosed with epilepsy and asks the nurse what may have caused this condition. The nurse explains that epilepsy is most often
a. caused by head trauma. b. idiopathic in origin. c. linked to a stroke. d. related to brain anoxia.
A bag-valve mask provides ventilations and is also known as an ambu bag
True False