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 »
To assist an adult client to sleep better the nurse recommends which of the following? A. Drinking a glass of wine just before retiring to bed. B. Eating a large meal 1 hour before bedtime. C. Consuming a small glass of warm milk at bedtime. D. Performing mild exercises 30 minutes… Read More »
A client has a diagnosis of primary insomnia. Before assessing this client, the nurse recalls the numerous causes of this disorder. Select all that apply. A. Chronic stress B. Severe anxiety C. Generalized pain D. Excessive caffeine E. Chronic depression F. Environmental noise Correct Answers: A, D, and F Insomnia… Read More »
The client with glaucoma asks the nurse if complete vision will return. The most appropriate response is: A. “Although some vision has been lost and cannot be restored, a further loss may be prevented by adhering to the treatment plan.” B. “Your vision will return as soon as the medications begin to work.” C.… Read More »
The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care? A. Decrease fluid intake to control the intraocular pressure. B. Avoid overuse of the eyes. C. Decrease the amount of salt in the diet. D.… Read More »
A hospitalized client is prescribed chloral hydrate (Noctec). The nurse includes which action in the plan of care? A. Monitor apical heart rate every 2 hours. B. Monitor blood pressure every 4 hours. C. Instruct the client to call for ambulation assistance. D. Clear a path to the bathroom at bedtime.… Read More »
Which of the following indicate the use of barbiturates in treating insomnia. Select all that apply. A. Barbiturates deprive people of NREM sleep. B. Barbiturates deprive people of REM sleep. C. When the barbiturates are discontinued, the NREM sleep increases. D. When the barbiturates are discontinued, the REM sleep increases. E.… Read More »
The nurse is performing an admission assessment on a client with a diagnosis of a detached retina. Which of the following is associated with this eye disorder? A. Pain in the affected eye. B. Total loss of vision. C. A sense of a curtain falling across the field of vision. D.… Read More »
Which of the following treatment is appropriate when there is a benzodiazepine overdose. Select all that apply. A. Administration of syrup of ipecac. B. Gastric lavage C. Activated charcoal and a saline cathartic. D. Hemodialysis E. Administration of Flumazenil. Correct Answers: B, C, and E If ingestion is recent,… Read More »
The nurse is caring for a client with a diagnosis of a detached retina. Which assessment sign would indicate that bleeding has occurred as a result of the retinal detachment? A. Complaints of a burst of black spots or floaters. B. A sudden sharp pain in the eye. C. Total loss of… Read More »