A nurse performing a neurological assessment is inspecting the client's eyelids for ptosis. The nurse checks the client for:
A. Drooping
B. Pupil dilation
C. Pupil constriction
D. Deviation of ocular movements
Ans: A. Drooping
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The nurse must prepare parents to see their adolescent daughter in the pediatric intensive care unit (PICU). The child arrived by life flight after experiencing multiple traumas in a car accident involving a suspected drunk driver
At this time, the priority nursing statement would be which of the following? 1. "Don't worry; everything will be okay. We will take excellent care of your child." 2. "You should press charges against the drunk driver." 3. "Your child's leg was crushed, and might have to be amputated." 4. "Your child's condition is very critical; her face is swollen, and she might not look like herself."
Excessive bubbling in the water-seal chamber in an underwater-seal chest tube drainage system is normal
Indicate whether the statement is true or false
To manage her diabetes appropriately and ensure a good fetal outcome, the pregnant woman with diabetes will need to alter her diet by
a. Eating six small equal meals per day b. Reducing carbohydrates in her diet c. Eating her meals and snacks on a fixed schedule d. Increasing her consumption of protein
The nurse is caring for a pregnant patient who speaks little English. Which action should the nurse take to make certain that the patient understands the plan of care?
1. Write all of the instructions down and send them home with the patient. 2. Obtain a medical interpreter of the language the patient speaks. 3. Ask a housekeeper who speaks this language to interpret. 4. Use gestures and facial expressions to get the plan across.