The nurse assessing the skin on the face of an older adult observes yellow plaques on the inner canthus of the eyes. Which action should the nurse take?
A. Assess the liver function.
B. Assess the client's ability to produce tears.
C. Assess the client's vision.
D. Assess the remainder of the skin.
Answer: D
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A physician in explaining the functions of the skeleton to a client. These include to provide the body with a structural framework as well as to:
a. restrict movement of muscles attached to the skeleton b. act as a protective casing for internal organs such as the brain, heart and lungs c. storing sodium and releasing it when needed by the body d. breakdown blood cells in the red bone marrow
A licensed vocational nurse (LVN) provides care on an inpatient hospital unit that has a census of 27 beds
The LVN works together with a registered nurse and a nurse's aide to provide care for 9 of the clients on the unit, and two similar groups of care providers are responsible for the remaining 18 clients on the unit. What model of nursing care is utilized on this unit? A) Team nursing B) Primary nursing C) Total client care D) Case method
The nurse is administering peritoneal dialysis to a client with acute renal failure. The nurse notes the presence of a cloudy dialysate return
After notifying the health care provider, which action by the nurse is the most appropriate? A) Measure abdominal girth. B) Document the cloudy dialysate. C) Culture the dialysate return. D) Increase dialysate instillation.
An adolescent boy goes to his primary care provider complaining of difficulty with his vision
When the nurse asks the adolescent to explain what visual deficits he is experiencing, the adolescent states, "I am having difficulty seeing distant objects; they are less clear than things that are close." What disorder does the nurse suspect the adolescent has? a. Hyphema b. Astigmatism c. Amblyopia d. Myopia