To validate the suspicion that a married male client has sleep apnea the nurse first: A. Asks the client if he experiences apnea in the middle of the night. B. Questions the spouse if she is awakened by her husband’s snoring. C. Place the client on a continuous positive airway pressure (CPAP) device.… Read More »
The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of the following identifies the accurate procedure for this visual acuity test? A. Both eyes are assessed together, followed by the assessment of the right and then the left eye. B. The right eye is… Read More »
When analgesics are ordered for a client with obstructive sleep apnea (OSA) following surgery, the nurse is most concerned about: A. Nonsteroidal anti-inflammatory drugs (NSAIDs) B. Opioids C. Anticonvulsants D. Antidepressants Correct Answer: B. Opioids Clients with obstructive sleep apnea are particularly sensitive to opioids. Thus the risk of… Read More »
The clinic nurse notes that following several eye examinations, the physician has documented a diagnosis of legal blindness in the client’s chart. The nurse reviews the results of the Snellen’s chart test expecting to note which of the following? A. 20/20 vision B. 20/40 vision C. 20/60 vision D. 20/200 vision… Read More »
The nurse finds a client sleep walking down the unit hallway. An appropriate intervention the nurse implements is: A. Asking the client what he or she is doing and calling for help. B. Quietly approaching the client and then loudly calling his or her name. C. Lightly tapping the client on the… Read More »
The client’s vision is tested with a Snellen chart. The results of the tests are documented as 20/60. The nurse interprets this as: A. The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet. B. The client is legally blind. C.… Read More »
The nurse is sure to implement strategies to reduce noise on the unit particularly on the ______ night of admission when the client is especially sensitive to hospital noises. A. 1st B. 2nd C. 3rd D. 4th Correct Answer: A. 1st The client is most sensitive to… Read More »
Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse analyzes the test results as documented in the client’s chart and understands that normal intraocular pressure is: A. 2-7 mmHg B. 10-21 mmHg C. 22-30 mmHg D. 31-35 mmHg Correct Answer: B. 10-21… Read More »
The nurse is developing a plan of care for the client scheduled for cataract surgery. The nurse documents which more appropriate nursing diagnosis in the plan of care? A. Self-care deficit B. Imbalanced nutrition C. Disturbed sensory perception D. Anxiety Correct Answer: C. Disturbed sensory perception The… Read More »
The nurse understands that the most vivid dreaming occurs during: A. REM sleep B. Stage 1 NREM C. Stage 4 NREM D. Transition period from NREM to REM sleep. Correct Answer: A. REM sleep Although dreams occur during both NREM and REM sleep, the dreams of REM sleep are… Read More »