The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by nursing staff

After reviewing the history, physical assessment, and vital signs for a 60-year-old patient as shown in the accompanying figure, which action should the nurse take first?

a. Check the patient's blood glucose level.
b. Take the blood pressure on the left arm.
c. Use an irrigating syringe to clean the ear canals.
d. Report the vision change to the health care provider.


ANS: D
The sudden change in peripheral vision may indicate an acute problem, such as retinal detachment, that should be treated quickly to preserve vision. The other data about the patient are not indicative of any acute problem. The other actions are also appropriate, but the highest priority for this patient is prevention of blindness.

Nursing

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Which of the following statements by the daughter of an 87-year-old resident of a nursing home would the nurse most likely want to correct or clarify?

A) "It seems like more and more people are living well into their 80s like my mom.". B) "My mom has a house worth loads of money but little cash flow, like many older adults.". C) "It seems like heart disease is getting more common even though people live longer than they used to.". D) "There are more women living to my mother's age than there are men.".

Nursing

A group of nursing students is discussing the components of blood. One student is naming the formed components of blood. Which are considered to be the formed components of blood?

Standard Text: Select all that apply. 1. Erythrocytes 2. Leukocytes 3. Platelets 4. Erythropoietin 5. Hemoglobin

Nursing

A patient diagnosed with serious mental illness was living successfully in a group home but wanted an apartment. The prospective landlord said, "People like you have trouble getting along and paying their rent."

The patient and nurse meet for a problem-solving session. Which options should the nurse endorse? Select all that apply. a. Coach the patient in ways to control symptoms effectively. b. Seek out landlords less affected by the stigma associated with mental illness. c. Threaten the landlord with legal action because of the discriminatory actions. d. Encourage the patient to remain in the group home until the illness is less obvious. e. Suggest that the patient list a false current address in the rental application. f. Have the case manager meet with the landlord to provide education about mental illness.

Nursing

What wave is thought to represent repolarization of the Purkinje fibers??

A) T B) S C) U D) R

Nursing