A nurse shines the light from the ophthalmoscope into the eyes of a newborn and observes a bright, round, red-orange glow seen through both pupils. The nurse documents this finding as:
a. A normal red reflex.
b. Eyelid capillary hemangiomas.
c. Bilateral conjunctivitis.
d. Ophthalmia neonatorum.
ANS: A
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To prevent transmission of tuberculosis, the nurse should instruct the client that the disease is spread by:
A) tears. B) blood. C) direct contact. D) respiratory droplets.
The nurse participating in the care of pregnant adolescents who are at risk because of substance abuse has presented a program to them to promote wellness
Which of the following statements, if made by the pregnant adolescent, indicates that she understands her increased risk of physiologic complications during pregnancy? 1. "I should seek prenatal care at some point in the pregnancy.". 2. "My anemia and eating mostly fast food are not important.". 3. "I need to take good care of myself by participating in vigorous exercise.". 4. "Smoking and using crack cocaine can harm my baby.".
A female client is seen in the outpatient clinic for numerous cuts, bruises, and apparent burns. In a discussion with the client, the nurse finds that the injuries are inconsistent with the stated cause
The client also states that she is having trouble sleeping, and she appears anxious. Based on these findings, the nurse suspects that the client may be experiencing: 1. Substance abuse 2. Domestic violence 3. Vascular disease 4. Mental illness
A patient has been prescribed Seasonique for contraceptive. The nurse evaluates that the patient understands the use of this medication when which statement is made?
1. "After I have taken 21 pills, I will not take pills for 7 days." 2. "I will remove the ring at the end of 3 weeks." 3. "After I have taken pills for 84 days, I will not take pills for 7 days." 4. "I will change the patch each week."