The nurse is instructing a 26-year-old client diagnosed with hypertension. What should the nurse instruct the client to do to determine an adverse effect of the disease process?
1. Have hearing checked.
2. Make an appointment with an ophthalmologist.
3. Make an appointment with a cardiovascular surgeon.
4. Prepare for a colonoscopy.
Answer: 2
1. Hypertension does not affect hearing.
2. Hypertension causes vasoconstriction, and can cause permanent damage to the optic nerve. Clients with hypertension should be encouraged to have regular eye examinations.
3. Surgery is not indicated at this time.
4. Colonoscopies are recommended after the age of 50.
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When the nurse is assessing a patient, the best action by the nurse is to
a. focus on assessment data collected with the five senses. b. not rely on information from friends, who may be wrong. c. use both primary and secondary sources of information. d. use secondary sources to determine assessment priorities.
As a leader on a rehab unit, you encourage all staff members to see themselves as having a role in decision making and quality care. You see your role as involving particular responsibilities in decision making but not as a hierarchal role
This view of decision making and leadership is con-sistent with: a. Trait theories. b. Complexity theory. c. Situated theory. d. Emotional intelligence.
The mother of a 3-month-old infant is distraught because the child vomits after every feeding. After an assessment, the nurse determines that the infant is experiencing regurgitation and not vomiting
What did the nurse assess in the infant? (Select all that apply.) A) Slight sour smell B) Occurs after a feeding C) Accompanied by prolonged crying D) Runs out of the mouth with no force E) Volume amount similar to entire stomach contents