The nurse is obtaining a visual history from a client who has noted an increased in glare and changes in color perception. Which assessment would the nurse anticipate to confirm a definitive diagnosis?
A) Identification of opacities on the lens
B) Identification of white circle around the cornea
C) Identification of yellowish aging spot on the retina
D) Identification of redness of the sclera
A
Feedback:
The client states an increased glare and changes in color perception, which indicates a cataract. Identification of opacities on the lens confirms that diagnosis. A white circle around the cornea and a yellowish aging spot are also symptoms of aging but with different symptoms. Redness of the sclera indicates irritation.
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A nurse teaches a client about self-catheterization in the home setting. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. "Wash your hands before and after self-catheterization." b. "Use a large-lumen catheter for each catheterization." c. "Use lubricant on the tip of the catheter before insertion." d. "Self-catheterize at least twice a day or every 12 hours." e. "Use sterile gloves and sterile technique for the procedure." f. "Maintain a specific schedule for catheterization."
The nurse is providing care for a young adult client with exophthalmos. Which nursing diagnosis would be the most appropriate for this client?
A) Disturbed Body Image B) Ineffective Coping C) Risk for Injury D) Activity Intolerance
A __________ is performed to obtain samples of CSF from the subarachnoid space for laboratory examination and to measure CSF pressure
Fill in the blank(s) with correct word
Nurses working in environments such as summer camps should:
a. be aware of the life-threatening allergies of their clients. b. instruct all campers to have decongestants and antihistamines with them at camp. c. consult with a health care provider to establish protocols regarding actions to be taken during emergencies. d. keep emergency supplies like diphenhydramine HCl (Benadryl) on hand.