The nurse assesses the pupils of an older client. Which unexpected finding does the nurse assess about the client's pupils?
1. 3 mm in size
2. Round shape
3. Slight opacity
4. Respond to light
3
3. Mild opacity in an older client's eyes is abnormal and potentially indicates cataract formation.
1, 2, and 4. A 3-mm size, roundness, and responsiveness to light are expected find-ings of an eye assessment indicating the oculomotor cranial nerve (III) is intact.
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A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The nurse examines her hand and would expect a fracture if the girl complains of a:
a. Dull ache. b. Deep pain in her wrist. c. Sharp pain that increases with movement. d. Dull throbbing pain that increases with rest.
A new chairperson of the nursing department has been appointed and plans to institute new programs for faculty development with a focus on innovative teaching strategies. According to Lewin, which is the first step in initiating this plan?
1. Ask staff to assist in the development of a plan for implementing new teaching strategies. 2. Include the staff in actively participating in the identification of problems related to teaching strategies. 3. Implement interventions to improve the teaching strategies currently used. 4. Reinforce the efforts of faculty as they begin to use new teaching strategies.
In addition to flashbacks, clients with post-traumatic stress disorder (PTSD) may exhibit or report which of these signs or symptoms?
a. diminished startle response c. hallucinations b. insomnia d. hypervigilant
In given situations, the nature and degree of reasonable care expected of people providing care may differ depending upon which factor?
1. The individual's status as a professional 2. The individual's sense of ethical responsibility 3. The individual's sense of societal obligations 4. The individual's understanding of the law