The nurse reviewing the records of a client notes there is a diagnosis of nystagmus. Which should the nurse recognize is a causative factor of the condition?
A. The development of cataracts.
B. Inability of the lens of the eye to accommodate.
C. Weakness in the extraocular muscles.
D. Eye infection.
Answer: C
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A nurse assesses a client who has a chronic skin disorder. Which finding indicates the client is effectively coping with the disorder?
a. Clean hair and nails b. Poor eye contact c. Disheveled appearance d. Drapes a scarf over the face
When a drug is listed as Category A, health care providers know:
A. the drug is the least dangerous. B. the risks to the developing fetus are minimal. C. the drug is more dangerous than one from Category C. D. the drug is in the highest risk category.
A patient with acute coronary syndrome has received thrombolytic therapy. The nurse would monitor and report which findings that indicate this therapy was successful?
1. Respiratory rate of 18 per minute 2. Resolution of ST segment elevation 3. Resolution of chest pain 4. Occurrence of premature ventricular complexes 5. Occurrence of a headache
The nurse administers a patient's medication; within 30 minutes the patient has bilateral wheezing and large red blotches on the face and is anxious and dizzy. Which should the nurse implement?
a. Encourage the patient to drink plenty of fluids. b. Direct a colleague to contact the provider stat. c. Check the medication administration record (MAR) for an antihistamine as needed. d. Document potential patient allergy to me-dication.