A nurse shines a light into one eye during ocular exam and the pupil of the other constricts. The nurse interprets this as which of the following?
A) Direct reflex
B) Optic chiasm
C) Consensual response
D) Accommodation
C
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The patient is 38 years old and is in her second postoperative day after placement of an intramedullary rod in her left femur. She is receiving analgesia via a patient-controlled analgesia (PCA) device
The inappropriate intervention related to caring for a patient with a PCA is: a. Maintaining the system. b. Recording activations of the system. c. Administering the analgesia to the patient. d. Monitoring the patient's pain.
Your patient is on tube feedings and is experiencing diarrhea. You suspect the patient is experiencing dumping syndrome. How might the nurse help to alleviate this problem?
A) Stop the tube feed. B) Increase the hourly feed rate. C) Dilute the feeding solution. D) Administer an antidiarrheal.
You are admitting a patient diagnosed with urinary retention. What question should be included as part of the assessment?
A) "Do you have dribbling urine?" B) "Are you following a fluid-restricted diet?" C) "Do you experience shortness of breath?" D) "Are you experiencing vertigo?"
The nurse needs to administer a rectal suppository to the client for constipation. Which should the nurse delegate to the nursing assistant (UAP)?
1. Insert the suppository into client's rectum. 2. Notify client's provider of suppository results. 3. Document the administration of a suppository. 4. Assist client to bathroom for bowel movement.