Which finding on assessment of a patient's eyes should the nurse document as abnormal?
a. An Asian American patient with an upward slant to the palpebral fissure
b. A Caucasian American patient whose sclerae are visible between the upper and lower lids and the iris
c. An African American patient who has off-white sclerae with tiny black dots of pigmentation near the limbus
d. An American Indian patient whose pupillary diameters are 5 mm bilaterally
ANS: B
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A critical care nurse has a personal goal to become an excellent critical care nurse. What does the nurse need to understand about the development of excellence?
A) Consists of strict attention to provision of patient and family safety B) Measuring criteria are dynamic and change as the nurse develops. C) Requires merely hard work and continued education D) Mandated by employer rather than being a personal goal
A patient with type 2 diabetes mellitus has a blood glucose level of 650 mg/dL and is lethargic
After being diagnosed with hyperglycemic hyperosmolar syndrome, the nurse realizes the patient is at risk for developing which of the following? 1. metabolic acidosis 2. mental status changes and seizures 3. fluid volume overload and respiratory compromise 4. hyperkalemia
The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?
A) "We do not allow our patients to drink herbal tea." B) "Why in the world would you want to drink that stuff?" C) "Let me check with the doctor to make sure it is okay with your medicines." D) "I have to fill out a lot of forms that you will have to sign before I can do that."
When caring for an adolescent, all of the following are helpful safety strategies for avoiding sexual assault except:
1. Staying in public areas. 2. Avoiding alcohol. 3. Traveling with a group of friends. 4. Engaging in risky behaviors.