The 80-year-old patient on the medical-surgical unit says to the nurse, "My vision is blurry and I see halos around lights. The glare from the sun really bothers me." Upon assessment, the nurse notes a cloudy film over the lens of the eye
Based on the patient's complaints and the nurse's assessment, the nurse associates these findings with which of the following?
a. Strabismus
b. Cataracts
c. Glaucoma
d. Presbyopia
B
A cataract is a cloudy film over the lens of the eye resulting in blurred vision, sensitivity to glare and bright light, halos around lights, fading or yellowing of colors, and image distortion. Tinnitus is ringing in the ear unrelated to vision. Presbyopia is a change in vision associated with aging in which a person is less able to accommodate to near objects. Glaucoma is a condition involving increasing pressure in the eye that can lead to loss of peripheral vision and even blindness, if not treated. Strabismus ("crossed-eyes") is the condition wherein one eye deviates from a fixed image.
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Which of these statements about the relationship between nursing process and critical thinking is TRUE?
a. Critical thinking is important to the nurse primarily during the assessment phase. b. Critical thinking is important to the nurse primarily during the evaluation phase. c. The nurse must use critical thinking in every component of the nursing process. d. The nursing process is primarily linear.
The nurse is caring for an older adult client with chronic renal failure who is scheduled for dialysis in two hours. Which finding is most concerning?
1. Hematocrit 58% 2. Platelet count 99,000/microliter 3. Diffuse pulmonary crackles 4. Increased jugular venous distention
A female patient who has been prescribed
diazepam (Valium) for anxiety tells you that she and her husband are planning to have a child. What is your best response? a. "Before becoming pregnant your dosage of diazepam will need to be decreased." b. "You should always discuss any changes in your medications and lifestyle with your prescriber." c. "Consult with your prescriber because taking diazepam while pregnant has been associated with birth defects." d. "Diazepam may cause withdrawal effects including miscarriage when taken during pregnancy."
The OB-GYN nurse teaches a first-time pregnant patient that functions of the amniotic fluid include: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Allowing fetal freedom of movement. 2. Releasing heat to control fetal temperature. 3. Acting as an extension of fetal extracellular space. 4. Providing a water source for the fetus to swallow. 5. Acting as a wedge during labor.