The nurse is reviewing the records of a client with astigmatism. Which visual changes should the nurse anticipate?
A. Double vision.
B. Decreased field of vision.
C. Inability to see things at a close range.
D. Presence of floaters.
Answer: A
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The nurse is assessing a patient admitted with AIDS who is taking a nonnucleoside reverse transcriptase inhibitor. What nursing diagnosis is most likely to be appropriate for this patient?
A) Risk for injury related to central nervous system (CNS) effects of the drug B) Excess fluid volume related to renal failure C) Imbalanced nutrition: Less than body requirements, related to gastrointestinal (GI) effects of the drugs D) Ineffective health maintenance related to spiritual distress
The document that provides professional standards and a framework for professional decision making that ensures decisions are made with the highest integrity is the
a. Nurse Practice Act. b. Code of Ethics. c. Nursing's Social Policy Statement. d. bylaws of the American Nurses Association (ANA).
The nurse notices that the patient's stoma is darker than before, purplish in color, and dry. The patient has been taking care of the ostomy independently. What action should the nurse take in-itially?
a. Document the findings. b. Ask how the patient is measuring the sto-ma. c. Call the healthcare provider. d. Rub the stoma to see if it bleeds.
A client who is a believer in Xong medicine (folk remedies) has agreed to take antidepressant medication but tells the nurse that she also wishes to treat her symptoms with healing practices consistent with her beliefs
The priority question the nurse should ask the client is: A. "Will you be inhaling herbs?" B. "How will astrology figure into your treatment plan?" C. "What, if any, herbs do you plan to take?" D. "Will your treatment include yoga?"