The nurse inspects a child's red reflex with an ophthalmoscope and finds black spots or opacities within the red reflex. The nurse knows these findings:
a. are normal in 95% of children
b. indicate congenital permanent blindness
c. suggest the child has experienced trauma
d. are abnormal and may indicate a cataract
D
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A Incorrect. Inspecting a child's red reflex with an ophthalmoscope and finding black spots or opacities, the nurse knows these findings are abnormal.
B Incorrect. Inspecting a child's red reflex with an ophthalmoscope and finding black spots or opacities, the nurse knows these findings do not indicate congenital permanent blindness.
C Incorrect. Inspecting a child's red reflex with an ophthalmoscope and finding black spots or opacities, the nurse knows these findings do not suggest the child has experienced trauma.
D Correct. Inspecting a child's red reflex with an ophthalmoscope and finding black spots or opacities, the nurse knows these findings are abnormal and may indicate a cataract.
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The nursing unit has experienced high stress and a higher than normal turnover rate. The manager asks a longtime member of the nursing staff to analyze the manager's job performance. What is most likely the reason for this request?
1. The manager is questioning his or her leadership style and its effectiveness. 2. The manager is required to ask for input on his or her personal job evaluation. 3. The manager is attempting to show concern about unit conditions. 4. The manger is inquiring about other leadership styles the nurse has encountered.
Which action by a skeletal muscle relaxant is the major mechanism of action?
a. Dilating blood vessels in skeletal muscles and reducing the need for contraction. b. Binding to opioid and serotonin receptors in the brain to induce sleep. c. Reducing motor nerve impulse transmission to the skeletal muscles. d. Inhibiting glucose uptake in skeletal muscles.
The client tentatively diagnosed with a borderline personality is admitted to the psychiatric unit for control of symptoms. Based on a thorough understanding of personality disorders, the nurse would select which nursing diagnosis as the priority?
1. Ineffective coping 2. Chronic low self-esteem 3. Risk for self-mutilation 4. Social isolation
The nurse is using the PLISSIT model when discussing sexual health with a client. Which would be an appropriate comment for the SS portion of PLISSIT?
A) "If you were to use the pill, the cost of the pill will be $5.00 per month." B) "The typical signs and symptoms include nausea and vomiting." C) "Keeping sexual secrets can hurt a healthy relationship." D) "Some people practice birth control, while others choose not to. It is an individual choice."