During examination of the fundus of the eye, the nurse assesses a choked disc. Which statement accurately explains the significant of this finding?
a. The disc has an infarct.
b. There is increased intracranial pressure (ICP).
c. There is significant hypertension.
d. The lens has become opaque.
B
Visualization of the optic disc provides information about the pressure within the eye and within the skull. When ICP gets higher, the optic disc appears "swollen" or "choked."
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a. Oral b. Anal c. Phallic d. Genital
The nurse is reviewing data collected on a client with shortness of breath. Which findings should be immediately reported to the health care provider? (Select all that apply.)
1. Blood pH 7.32 2. Pulse oximetry 88% 3. Negative cytology cells 4. Acid-fast bacillus positive 5. Sputum culture and sensitivity negative
A community health nurse is giving an educational presentation about stroke and heart disease at the local senior citizens center. What nonmodifiable risk factor for stroke should the nurse cite?
A) Female gender B) Asian American race C) Advanced age D) Smoking
The nurse is teaching the client about the long-term consequences of untreated hypertension. What should the nurse include in the teaching? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Diabetes 2. Stroke 3. Heart failure 4. Myocardial infarction 5. Diabetes insipidus