The nurse is briefly reviewing a newly admitted patient's medical history prior to a shift change, and notes that the patient has low vision. The nurse should understand that this term denotes what?
A) The patient requires eyeglasses or contact lenses to achieve clear vision.
B) The patient requires assistive devices to compensate for impaired visual acuity.
C) The patient has no light perception.
D) The patient is unable to perform functional tasks due to decreased vision.
B
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Which of the following would be the best meal choice for a patient with a stage III pressure ulcer?
A) Cheeseburger and fries B) Skim milk, oatmeal, and whole wheat toast C) Steak, baked potato, spinach, and strawberry salad D) Eggs, bacon, hash browns, and an apple
You are doing a preoperative assessment on a patient going to surgery. The patient informs you that he ingests 5 to 10 ounces of alcohol each day and has for the last 15 years. What postoperative difficulties can the nurse anticipate for this patient?
A) Delirium tremens immediately following surgery B) Delirium tremens within 72 hours after his last alcohol drink C) Delirium tremens upon administration of general anesthesia D) Delirium tremens 1 week after his last alcohol drink
A 56-year-old patient is admitted to the critical care unit with acute respiratory distress syndrome (ARDS)
The patient has been intubated and is mechanically ventilated. The patient is becoming increasingly agitated, and the high-pressure alarm on the ventilator has been frequently triggered. The nurse's first intervention for this patient would be to a. administer midazolam (Versed) 5 mg by intravenous push immediately. b. assess the patient to see if a physiologic reason exists for his agitation. c. obtain a stat arterial blood gas level; his agitation indicates he is becoming increasingly hypoxic. d. apply soft wrist restraints to keep him from pulling out the endotracheal tube.
The client is being discharged after a percutaneous transluminal coronary angioplasty (PTCA) and is prescribed to take a calcium channel blocking agent. Which precaution should the nurse stress when teaching that is specific for this drug therapy?
A. "Change positions slowly." B. "Avoid crossing your legs." C. "Weigh yourself daily." D. "Decrease salt intake."