The nurse is assessing the eyes of an older adult client. Which finding is expected by the nurse based on the client's age?
A. The client states that they feel that their tear production has increased over the years.
B. There is a noticeable increase in fat within the orbit of the eye.
C. The client has difficulty reading from a paper held at far range without corrective glasses.
D. The client is unable to clearly read from a paper held at close range.
Answer: D
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As part of a psychosocial assessment, the nurse determines a client's ability to make judgments. To do this, the nurse might ask the client:
1. "How do you feel about persons of a different cultural background than yours?" 2. "Can you repeat these five words back to me: lecture, ketchup, pickle, broom, and door?" 3. "Can you explain what 'The early bird catches the worm' means?" 4. "What would you do if the fire alarm went off just now?"
A patient, being treated for a traumatic brain injury is febrile with a temperature of 100 degrees F. Which of the following should be done to help this patient?
1. administer antipyretics as prescribed 2. increase oxygen flow rate 3. increase intravenous fluids 4. implement pulmonary hygiene activities
Which of the following are indications for irrigating a urinary catheter? (Select all that apply.)
a. Sediment occluding within the tubing b. Blood clots in the bladder following surgery c. Rupture of the catheter balloon d. Bladder infection e. Presence of renal calculi
Which of the following is the advantage of the MRI over the CT scan?
a. The MRI can often separate out features that cannot be seen by CT scans. b. The MRI hurts less than the CT scan. c. The MRI is much less expensive than the CT scan. d. The CT scan is considered old technology and is slow and less powerful.