The nurse is caring for a 45-year-old male patient admitted with a retinal detachment in his left eye. What symptoms would the nurse expect to find during assessment?
A) Flashing lights in the visual field
B) Sudden eye pain
C) Loss of color vision
D) Colored halos around lights
Ans: A
Feedback: Flashing lights in the visual field are a common symptom of retinal detachment. Patients may also report spots or floaters or the sensation of a curtain being pulled across the eye. Retinal detachment isn't associated with eye pain, loss of color vision, or colored halos around lights.
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The nurse follows which of the following guidelines when providing skin care and protection for bathing a patient with pruritus?
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Self-care measures the nurse or speech therapist should teach the client who has residual dysphagia after a stroke include (Select all that apply)
a. chewing each bite thoroughly. b. placing foods in the unaffected side of the mouth. c. sticking to only semi-liquids and very soft foods. d. turning the head to the unaffected side and checking for retained food.
Assessment of mental status reveals the client's general cerebral function. This includes which of the following?
A) Affective and knowledge functions B) Cognitive and affective functions C) Affective and memory functions D) Cognitive and effective functions