A nurse is assisting with the admission of an older adult client. Which of the following subjective findings suggests that the client may have cataracts?

Sudden dimmed vision

Cloudy vision

Intermitent ﬂashes of light

Pain in the eyes

Answer and Explanation

The Correct Answer is B

Cloudy vision is a symptom of cataracts. Cataracts occur when the lens of the eye becomes cloudy, causing visual disturbances such as cloudy or blurry vision.The other options are not typical symptoms of cataracts.

a) Sudden dimmed vision may be a symptom of other eye conditions.

c) Intermitent ﬂashes of light (option c) may be a symptom of other eye conditions such as retinal detachment.

d) Pain in the eyes (option d) is not a typical symptom of cataracts.

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Free Nursing Study Resources

Correct Answer is C

Explanation

The nurse should apply a heat pack 5 to 10 minutes prior to the procedure when planning to obtain blood from a newborn via a heel stick. This helps to increase blood ﬂow to the area and makes it easier to obtain the specimen.

a) Puncturing the heel to a depth of 4 mm is too deep and can cause injury to the newborn. The recommended depth for a heel stick is 2.4 mm or less.

b) Withholding feeding prior to collecting the specimen is not necessary.

d) Elevating the newborn's foot for 15 minutes following the procedure is not necessary.

A. Monitor the client's vital signs every 8 hours B. Reposition the endotracheal tube every 12 hours. C. Place the client in a supine position. D. Perform oral care every 2 hours

Correct Answer is D

Explanation

Performing oral care every 2 hours is an important nursing intervention for a client receiving mechanical ventilation via an endotracheal tube. This helps to reduce the risk of ventilator-associated pneumonia.

a) Monitoring the client's vital signs is important, but it should be done more frequently than every 8 hours.

b) Repositioning the endotracheal tube is not necessary unless there is a specific indication.

c) Placing the client in a supine position is not recommended as it increases the risk of aspiration.

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A nurse is assisting with the admission of an older adult client. Which of the following subjective findings suggests that the client may have cataracts?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to obtain blood from a newborn via a heel stick. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse and assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?

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