Why it is important to check the neck for position and involutary movement. 2) what should the nurse consider when inspecting the buccal mucosa of a african american or indian decent. 3) what should the nurse do when the pupil are unequal in size? 4) what should the nurse do if the pain is too great to assess For tenderness?
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- 5) The nurse is assessing a toddler who is admitted with suspected intussusception and presents with vomiting, and blood and mucus present in the stools. Which action should the nurse implement first? A. Insert a nasogastric tube to low intermittent suction. B. Maintain NPO status and initiate IV fluid hydration. C. Use a faces pain scale to medicate for pain as prescribed. D. Prepared for radiographic studies to determine treatment options.An older client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit? A. Arrange food on the plate in clockwise order B. Apply bilateral eye patches while sleeping C. Verbally identify self when entering the room D. Use a white board to communicate ideasThe nurse is discharging a patient home after surgery for trigeminal neuralgia. What advice should the nurse provide to this patient in order to reduce the risk of injury? Avoid rubbing the eye on the affected side of the face. Use over-the-counter antibiotic eye drops for at least 14 days. Avoid watching television or using a computer for more than 1 hour at a time. Rinse the eye on the affected side with normal saline daily for 1 week.
- During a nurses assessment of a patient's abdominal pain, the nurse asks where the pain is located. Which part of the PQRST assessment is the nurse asking about? OTThe medication nurse is to administer medications to a hospitalized client. Which of the following actions would a nurse be expected to perform when instilling eyedrops correctly? (Select all that apply.) 1. Wash hands and put on gloves. 2. Have the patient look up and focus on something on the ceiling. 3. Place the thumb near the margin of the lower eyelid and exert pressure upward over the bony prominence of the cheek. 4. Tilt the patient's head back slightly if sitting or place the head on a pillow if lying down. 5. Clean the eyelids and eyelashes of any drainage with cotton balls soaked in clean water.How should the nurse treat a patient of Italian descent in order to enhance the possibility of adherence to a medical regimen to improve the patient's condition?
- The nurse is practicing the therapeutic communication technique of broad opening. Which of thefollowing statements by the nurse best demonstrates a correct understanding of this technique?a. “How do you feel when you are arguing with your daughter?”b. “What are you thinking about?”c. “Are you planning on hurting yourself?”d. “You are biting your fingernails. Is something bothering you?”What activities will the nurse tell the client to avoid after cataract surgery? (Select all that apply.) Sleeping for greater than 1 hour Lifting items greater than 10 pounds Blowing one's nose Bearing down when one defecates UrinatingThe nurse is assessing an 80-year-old patient. Which of these findings would be expected from this patient? - finer and less prominent hair - decreased ability to identify odors - herpertrophy of the guns - increased production of saliva
- A nurse is assessing a client immediately following a lumbar puncture. Which of the following findings should the nurse report to the provider?1. Client reports a need to void2. Client requests oral fluids3. Client requests to ambulate4. Client reports feeling nauseatedIn completing a focused assessment of a client who has completed treatment for Herpes zoster (shingles), what assessment data is most important for the practical nurse to obtain? A Pain scale. B Capillary refill. C Joint mobility. D Urine color.A patient who has end-stage liver disease is experiencing signs and symptoms of hepatic encephalopathy. What interventions should the nurse implement for this patient? What teaching should the nurse provide to the family?