A nurse is caring for a client in an assisted living facility who has vision problems.

Exhibits

Complete the sentence by using the list of options
The findings noted by the health care practitioner suggest that

the client may have presbyopia

the client's vision is normal for someone her age

the client has the beginning stages of cataract formation the

client has increased intraocular or glaucoma

Answer and Explanation

The Correct Answer is A

A. Presbyopia is a common age-related condition that affects the ability to see close objects clearly, which aligns with the client's difficulty in reading, sewing, and seeing faces up close.

B. While some vision changes are expected with aging, the specific difficulties the client is experiencing suggest a more definitive condition rather than "normal" vision changes.

C. While cataracts can cause vision issues, the specific symptoms described (trouble reading and seeing objects up close) are more characteristic of presbyopia.

D. Glaucoma typically involves peripheral vision loss rather than difficulty with near vision, so this option is not supported by the findings.

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Correct Answer is C

Explanation

A. This would show a regular rhythm with a consistent rate (60-100 bpm) and clear P waves before each QRS complex, which is not present in asystole.

B. This indicates a slow heart rate (below 60 bpm) but would still display P waves and QRS complexes; asystole shows no electrical activity.

C. This is the correct interpretation as it represents a flatline on the ECG, indicating no electrical activity in the heart.

D. This would show a rapid heart rate (above 100 bpm) with present P waves, which is not the case in asystole.

A. Auscultate the anatomic area with a stethoscope. B. Use Doppler ultrasonography to locate the pulse. C. Document absence of dorsalis pedis pulse. D. Ask a provider to assess the pulse.

Correct Answer is B

Explanation

A. Auscultating the area may not provide information about the dorsalis pedis pulse, which is a palpated pulse.

B. Using Doppler ultrasonography is the most appropriate next step to locate the dorsalis pedis pulse if it cannot be palpated, as it provides a non-invasive way to detect blood flow.

C. While documenting the absence of the pulse is necessary, it should be done after attempts to locate the pulse have been made.

D. It is not immediately necessary to ask a provider to assess the pulse; the nurse can use Doppler ultrasonography first to gather more information.

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A nurse is caring for a client in an assisted living facility who has vision problems. Exhibits Complete the sentence by using the list of options The findings noted by the health care practitioner suggest that

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How should the nurse interpret the rhythm depicted in the image?

Correct Answer is C

Explanation

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

Correct Answer is B

Explanation

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A nurse is caring for a client in an assisted living facility who has vision problems.

Exhibits

Complete the sentence by using the list of options
The findings noted by the health care practitioner suggest that