The admission assessment form on a neurological unit requires the admitting nurse to assess each patient's superficial reflexes. To assess a patient's corneal reflex, the nurse should:
A) Ask the patient to hold his or her eyes open until the urge to blink is felt.
B) Approach the patient's pupils from the side with a penlight.
C) Approach the patient's pupils from the front with a penlight.
D) Lightly touch the patient's sclera with some wisps of cotton.
D
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The client is a 42-year-old man recently diagnosed with new-onset asthma. What specific personal/demographic information should you obtain related to this diagnosis?
A. Previous diagnosis of pneumonia or tuberculosis B. Known allergies and hypersensitivities C. Nutritional intake and diet history D. Occupation and hobbies
In what order will the nurse perform these actions when doing a physical assessment for a patient admitted with abdominal pain? (Put a comma and a space between each answer choice [A, B, C, D].)
a. Percuss the abdomen to locate any areas of dullness. b. Palpate the abdomen to check for tenderness or masses. c. Inspect the abdomen for distention or other abnormalities. d. Auscultate the abdomen for the presence of bowel sounds.
A nurse caring for a client in a long-term health care facility measures his intake and output and weighs him to assess water balance. These actions help to meet which of Maslow's hierarchy of needs?
A) Physiologic B) Safety and security C) Love and belonging D) Self-actualization
Which is the initial nursing care intervention for a nurse admitting a patient recently discharged from an inpatient unit into a partial-hospitalization program?
a. Confirming the telephone numbers of all family members listed as approved contacts b. Identifying the patient's food preferences to best ensure proper nutrition as well as adequate intake c. Asking the patient to identify any sources of anxiety they are experiencing related to the program d. Educating the patient to the time and place of the unit activities included in their therapeutic plan of care