What should the nurse include when documenting the physical examination of a patient's eyes? (Select all that apply.)
A) Presence of double vision
B) Trauma to the eye
C) Diagnosis of diabetes
D) Shape and size of the pupils
E) Appearance of the optic disc
D, E
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The nurse is caring for a critically ill elderly patient. The patient is confused and agitated. The family states that the patient had not exhibited confusion at home. What is the most important nursing action?
A) Apply restraints to prevent patient injury. B) Sedate the patient to prevent injury. C) Assess vital signs and laboratory results for abnormal values. D) Apply oxygen by nonrebreather mask at 10 L/min.
A community health nurse is preparing for an initial home visit to a patient discharged following a total gastrectomy for treatment of gastric cancer. What would the nurse anticipate that the plan of care is most likely to include?
A) Enteral feeding via gastrostomy tube (G tube) B) Gastrointestinal decompression by nasogastric tube C) Periodic assessment for esophageal distension D) Monthly administration of injections of vitamin B12
The nurse is reviewing the results of a patient's cardiac output curve and notes that the size of the curve is small. Which of the following does this finding indicate?
1. a low cardiac output 2. a poor injection technique 3. incorrect placement of the catheter 4. a high cardiac output
What information will a nurse find when reading a systematic review?
a. Results of randomized controlled trials b. A description of the methods used to search for evidence c. Data compiled on a particular question d. An in-depth review of the literature completed by one person