The nurse is collecting data visually on a patient. Which lighting environment should the nurse use to examine the patient's pupils?
a. Natural lighting
b. Brightly lit room
c. Slightly darkened room
d. Completely darkened room
ANS: C
To test pupillary response to light, both consensual and direct examinations should be completed. A slightly darkened room works best. A. B. This would be too much light to test pupillary response. D. This would not be an adequate amount of light to test pupillary response.
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During the physical examination of an adolescent with significant weight loss, what finding may indicate an eating disorder?
a. Diarrhea b. Amenorrhea c. Appetite suppression d. Erosion of tooth enamel
The home care nurse is assessing an older patient diagnosed with mild cognitive impairment (MCI) in the home setting. Which information is of concern?
a. The patient's son uses a marked pillbox to set up the patient's medications weekly. b. The patient has lost 10 pounds (4.5 kg) during the last month. c. The patient is cared for by a daughter during the day and stays with a son at night. d. The patient tells the nurse that a close friend recently died.
If a muscle is stretched, which of the following injuries may occur?
A. whiplash B. hyperextension C. strain D. sprain
A client with late moderate-stage dementia has been admitted to a long-term care facility. Which of the following nursing interventions will help the client to maintain optimal cognitive function?
a. Discuss pictures of children and grandchildren with the client. b. Do word games or crossword puzzles with the client. c. Provide the client with a written list of daily activities. d. Watch and discuss the evening news with the client.