When assessing for macular degeneration, the nurse will use which assessment tool?
a. Snellen eye chart
b. Corneal reflex test
c. Visual field test
d. Amsler grid test
D
The Amsler grid test assesses the extent of macular degeneration by noting the patient's percep-tion of missing or wavy lines on the grid. The Snellen eye chart is used to assess visual acuity. Visual field assessments may be used to assess peripheral vision.
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An infant is born at 35 weeks and 3 days. How would the nurse document this gestational age? ____________________
ANS:
You are the nurse caring for a 65-year-old female patient who is in renal failure. During your shift assessment, the patient complains of tingling in her lips and fingers whenever anyone takes her blood pressure
She tells you that she gets a spasm in her wrist and hand and that it is very painful. What would you suspect? A) Hypophosphatemia B) Hypocalcemia C) Hypermagnesemia D) Hyperkalemia
A client has severe burns around the right hip. Which position does the nurse instruct the nursing assistant to use to maintain maximum function of this joint?
a. Hip maintained in 30-degree flexion b. Hip at zero flexion with leg flat c. Knee flexed at 30-degree angle d. Leg abducted with foam wedge
A patient diagnosed with an eating disorder refuses to be weighed and says, "I just drank a big glass of water." Select the nurse's best response
a. "Call me after you have emptied your bladder." b. "This is weight day. Please step on the scale." c. "I will weigh you tomorrow." d. "You know the rules."