The nurse is caring for a patient with suspected macular degeneration. During the assessment the patient is asked to focus on an image. Which finding supports the diagnosis?
a. The patient only sees disconnected pieces of the image.
b. The patient sees a dark spot in the center of what is viewed.
c. The patient sees nothing in the peripheral vision.
d. The patient sees wavy lines and bright flashing lights.
B
The person with macular degeneration sees a dark spot in his central vision. Peripheral vision is not affected until later in the disease.
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The pregnant woman has had no prenatal care and arrives at the hospital fully dilated. Assessment of the newborn indicates a probable gestational age of 35 weeks combined with intrauterine growth restriction
The nurse will monitor the infant for signs of neonatal abstinence syndrome, including: Standard Text: Select all that apply. 1. Poor feeding. 2. Difficult to arouse. 3. Constipation. 4. Seizures. 5. Yawning.
A home care nurse is assisting a patient's daughter in meal planning for her mother who is recovering from a hip fracture and surgery
Which of the following meals indicates that the daughter understands the concept of a nutritionally complete choice based upon the Food Guide Pyramid? A) Cheeseburger, carrot sticks, and mushroom soup with crackers B) Spaghetti and meat sauce with a salad C) Chicken and pepper stir fry and basmati rice D) Ham sandwich with tomato on rye bread with
The female nurse was called to the emergency department (ED) to help with a woman who had been beaten and raped. Which of the following are the nurse's responsibilities as a forensic nurse?
a. Discuss with police officers what is known and what needs to be known to close the case b. Initiate the proper collection, preservation, and chain of custody of evidence with appropriate documentation c. Serve as chaperone while the physician completes the physical examination d. Be empathetic and supportive to the victim
A client is experiencing health problems related to alterations in adrenal medulla function. On which areas should the nurse focus when assessing this client?
Select all that apply. A) Heart rate B) Weight C) Respiratory rate D) Skin integrity E) Blood pressure