The nurse notices that a client's pupils constrict when reading the consent form for medical treatment. This observation would lead the nurse to consider which of the following?
1. The room is too dark.
2. The client is able to read.
3. This is a normal response.
4. The client requires glasses for reading.
3
Rationale 1: When a room is dark, the client's pupils should dilate in response.
Rationale 2: Pupil constriction occurs as the client focuses on the paper. It does not indicate the client can read.
Rationale 3: This is a normal finding. The client's pupils should constrict in response to trying to read what is on the paper.
Rationale 4: Pupil constriction would not lead the nurse to believe the client needs reading glasses.
You might also like to view...
Which of the following are signs of fluid overload in the patient with nephrosis? (Select all that apply.)
a. Increase in pulse rate b. Increase in daily weight c. Clear lung sounds d. Edema e. Labored respirations
A school-aged child develops school phobia. When counseling her mother, you would advise her that the accepted therapy for this is to
A) keep her child home until this fear passes. B) make her child attend school every day. C) allow her child to decide daily if she wants to go to school or not. D) ask the teacher to decide if the child should come to school or not each day.
A relative of a licensed nurse wants to pursue a degree in practical nursing. What type of school is most likely to provide this type of training?
A) American Red Cross B) Young Women's Christian Association C) Vocational or community college D) Local public library
The nurse knows the birth rate by age group in the state. Which research question could be developed for further study from this data?
1. What is the average number of children per family in the United States? 2. How does educational level affect the incidence of unplanned pregnancy? 3. What is the overall nutritional status of adolescents? 4. Which high schools provide day care for student parents?