The nurse is assessing an adult African American client who is experiencing visual changes. Which of the following questions would be the most important to ask this client?
1. "Have you or anyone in your family ever been diagnosed with diabetes?"
2. "Do you wear sunglasses when you are outside?"
3. "Did your mother have a vaginal infection at the time of your delivery?"
4. "Do you see any halos around lights?"
1
Rationale 1: Diabetic retinopathy is the leading cause of blindness in the United States. It is important for the nurse to determine if the client has a personal or family history of diabetes. Type 2 diabetes occurs more frequently in African Americans, Asian Americans, Hispanic Americans, and Native Americans than in Caucasian clients. This will assist the nurse to determine if the client may be suffering visual changes as a result of diabetic retinopathy.
Rationale 2: The nurse can ask about the client's behaviors to determine his risk of developing problems associated with ultraviolet radiation.
Rationale 3: When the nurse is assessing an infant, the nurse should inquire about whether the mother of the infant had a vaginal infection at the time of delivery because this can result in eye infections in the newborn.
Rationale 4: Clients who see halos around lights may be suffering from glaucoma and increased intraocular pressure.
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A nurse is educating a client about the function of the parts of the auditory system. Which is the function of the Eustachian tube?
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Assessment tools can be very helpful for nurses working with families in a variety of situations. A fairly simple tool that specifically looks for familial risk factors and that can be helpful
for the nurse by including the potential effect of the health history on any member of a family is the: 1. Behavioral health indicator. 2. Ecomap. 3. Family health assessment. 4. Family health tree. 5. Genogram.