The nurse is using a penlight to check the patient’s pupils as part of the neurologic assessment/data collection. Arrange the actions and observations in the correct order that they should occur for testing accommodation. All options must be used:1. Pupils dilate. 2. Pupils constrict and converge. 3. Document findings. 4. Ask client to watch object as it moves to the nose. 5. Ask client to focus on object in the distance.
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The nurse is providing instructions to an assistive personne…
The nurse is providing instructions to an assistive personnel (AP) who is preparing to bathe a client with mild dementia and requires minimal assistance with hygiene. When giving the instructions, what client need does the nurse identify as the highest priority?
Advanced Cardiac Life Support (ACLS) training is
Advanced Cardiac Life Support (ACLS) training is
A client has an impairment of cranial nerve II. Specific to…
A client has an impairment of cranial nerve II. Specific to this impairment, the nurse plans to do which to ensure client safety?
A nurse performing a neurological assessment/data collection…
A nurse performing a neurological assessment/data collection of an adult client asks the client to identify various odors. In this technique, which cranial nerve is the nurse assessing?
The nurse is caring for a client who has just died. What end…
The nurse is caring for a client who has just died. What end-of-life information needs to be documented in the client’s medical record? (Select all that apply.)
The patient has been diagnosed as having gouty arthritis. Th…
The patient has been diagnosed as having gouty arthritis. The patient asks the nurse to explain the cause of the inflammation. What is the most appropriate nursing response?
A patient diagnosed with hypertension has been prescribed an…
A patient diagnosed with hypertension has been prescribed an antihypertensive medication. The patient expresses interest in using an herbal remedy to lower blood pressure. What statement is most important for the nurse to provide to the patient?
The nurse is planning care for a client with hemiparesis of…
The nurse is planning care for a client with hemiparesis of the right arm and leg. Where would the nurse plan to place objects needed by the client?
The nurse plans to administer a prescribed dose of Acetamino…
The nurse plans to administer a prescribed dose of Acetaminophen EC orally to a client with dysphagia. What is the nurse’s priority action?