The nurse assesses the patient's visual acuity to be 20/25 using an eye chart. The patient asks what that means. Which of the following is the nurse’s best response?
You can read the chart perfectly with both eyes.
You can read 25 feet what most people can read at 20 feet.
You can read at 20 feet what most people can read at 25 feet.
Your left eye can see the chart at 20 feet while your right eye can see it at 25 feet.
The Correct Answer is C
A visual acuity of 20/25 means that the patient can read letters on an eye chart at 20 feet away, which is the same as what someone with normal vision can read at 25 feet away. This indicates that the patient's visual acuity is slightly below average, but still within the normal range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The CAGE acronym is a brief screening tool used to assess alcohol misuse or dependence. It consists
of four questions that can be easily remembered using the acronym CAGE:
C - Have you ever felt you needed to Cut down on your drinking?
A - Have you ever felt Annoyed by criticism of your drinking? G - Have you ever felt Guilty about your drinking?
E - Have you ever felt the need for an Eye-opener (drink) in the morning?
Correct Answer is B
Explanation
The appropriate next step would be to auscultate for another 4 minutes. The absence of bowel sounds for one minute does not necessarily indicate a surgical emergency, as bowel sounds may be affected by various factors such as the client's diet, medications, and level of activity. Listening for another minute may not provide enough information to make an accurate assessment, so it is recommended to listen for a longer period. If after the additional 4 minutes, there are still no bowel sounds heard, the nurse should notify the physician to further evaluate the client. Listening posteriorly may also provide additional information, but it should be done after the nurse has completed listening to all four quadrants of the abdomen anteriorly.
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