Sudden loss of vision is most likely:
A) Retinal detachment.
B) Retinitis pigmentosa glaucoma.
C) Cataract.
D) Diabetic retinopathy.
A
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A 50-year-old man comes to the crisis clinic after being terminated from his job of 15 years. He tells
the nurse "I do not know what to do. How will I get another job? Who will pay the bills? How will I get money to feed my three kids? I am not in the driver's seat anymore!" The nursing diagnosis that should be considered is a. hopelessness. b. powerlessness. c. chronic low self-esteem. d. disturbed thought processes.
A victim of spousal abuse comes to the emergency department for treatment of a broken nose. She
appears hypervigilant and anxious and admits to sleep disturbance when the nurse questions the dark circles under her eyes. She reluctantly tells the nurse the abuse usually occurs when the husband has been drinking, although she concedes he is always jealous and controlling. She is a stay-at-home mother of two preschool children. The family has lived in this town for 1 month. The client states she has fleetingly considered suicide but must stay alive to care for her children. She denies having had the desire to kill her husband. The assessments the nurse should document in the medical record include noting that (more than one option may be correct) A. signs of high anxiety and chronic stress are present. B. the client relies on the perpetrator for basic needs. C. the client is isolated from individual and community support. D. suicide risk is high. E. homicide potential is low. F. a safety plan should be constructed.
A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, the nurse finds a pulse of 60 beats per minute. Which of these actions should the nurse take?
A) Document the finding, as it is a normal finding at this time. B) Contact the physician, as it indicates early DIC. C) Contact the physician, as it is a first sign of postpartum eclampsia. D) Obtain an order for a CBC, as it suggests postpartum anemia.
The nurse case manager is concerned about a particular client being discharged from the hospital. Which factors should alert the nurse to possible problems with this client's adherence to treatment?
1. The prescribed therapy is costly and of unknown duration. 2. The therapy will require no lifestyle changes of the client. 3. The client has not had difficulty understanding the regimen. 4. The client's culture is supportive of Western medicine.