Your patient has been treated for glaucoma for 5 years. Which of the following will provide indication of the level of progression during the funduscopic examination for this patient?
A. Checking the macula
B. Estimating cup-to-disk ratio
C. Verifying a red reflex
D. Extraocular movements
ANS: B
In glaucoma, inspection may identify cup/disk ratio change; late afferent effect is possible.
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A patient is admitted into the ICU with the diagnosis of gunshot wound to the head, suicide attempt. While the patient is in the ICU the nurse's interventions should include
a. limiting interaction with the patient due to antisocial behaviors exhibited by the suicidal attempt. b. ignoring the patient's need to talk about the incident. c. validating the patient's worth and self-esteem. d. discontinuing any psychotropic medications.
Which is a beneficial approach to hygienic care for a patient with dementia?
a. Schedule the patient's full shower at 7 AM 3 mornings every week. b. Have a team give the bath together with each member washing a different body area. c. Wash the perineal region first to remove potentially infectious material. d. Explain each step as you go, and keep the patient covered as much as possible while bathing.
Which of the following are correct regarding the use of a walking rounds report for patient hand off?
a. advantage: nurse giving report as actual audience and can include all pertinent information b. advantage: patient is included in the planning and evaluation of care c. disadvantage: lack of privacy in discussing patient information d. disadvantage: easy to get side tracked or discuss non-patient-related issues e. advantage: accountability of outgoing care provider promoted f. disadvantage: time consuming
At birth, an infant weighed 8 pounds 4 ounces. Three days later, the newborn is being discharged. The parents note that the baby now weighs 7 pounds 15 ounces. The nurse explains that the change in the newborn's weight is:
1. Excessive. 2. Within normal limits. 3. Less than expected. 4. Unusual.