The nurse is examining a patient's retina with an ophthalmoscope. Which finding is considered normal?
a. Optic disc that is a yellow-orange color
b. Optic disc margins that are blurred around the edges
c. Presence of pigmented crescents in the macular area
d. Presence of the macula located on the nasal side of the retina
ANS: A
The optic disc is located on the nasal side of the retina. Its color is a creamy yellow-orange to a pink, and the edges are distinct and sharply demarcated, not blurred. A pigmented crescent is black and is due to the accumulation of pigment in the choroid.
You might also like to view...
An 84-year-old patient is 3 days postoperative from a right hip replacement. The patient is taking more than 14 different scheduled medications and six PRN medications, including analgesics
The nurse is concerned about renal function and should assess the patient's a. creatinine clearance. b. sodium levels. c. potassium levels. d. urinalysis.
Metered-dose inhalers are used to deliver specific amounts of medication. The nurse instructs the patient to:
1. never shake the inhaler medication before use. 2. exhale while squeezing the canister to deliver the medication. 3. sit upright, exhale, then activate the inhaler as the next inhalation begins. 4. hold the head back while inhaling the medication.
A student nurse is assigned to a shelter for the homeless during her psychiatric nursing rotation. A new homeless person comes to the shelter for the lunch meal
The nursing assessment of this new client should begin with an assessment for which of the following? a. signs of psychotic symptoms b. previous history of hospitalization c. evidence of communicable diseases d. symptoms of depression
Which of the following provides the best explanation as to why people do not immediately seek medical treatment when they first become ill with HIV?
a. They are afraid to get tested for fear results will be positive. b. They avoid the problem (maybe it will go away). c. They don't recognize their symptoms as possibly being due to HIV. d. It is too expensive to get an HIV test.