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The nurse in the family practice clinic is educating a newly graduated nurse on how to correctly use a penlight. The nurse creates the expected outcome: After the review session, the newly graduated nurse will verbalize appropriate penlight examination techniques.

For each statement below, click to specify whether it indicates the outcome was met or not met.

A.

I will confirm the patient's pupil size with the scale on the side of the penlight.

B.

When putting the penlight at the bridge of the nose, the eyes converge and constrict

C.

I will check the patient's pupillary reflex by shining a light into their eyes.

D.

When shining the penlight into the patient's eyes, their pupils should dilate

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

New Nurse Statement

Met

Not Met

I will confirm the patient's pupil size with the scale on the side of the penlight.

✅

 

When putting the penlight at the bridge of the nose, the eyes converge and constrict

✅

 

I will check the patient's pupillary reflex by shining a light into their eyes.

✅

 

When shining the penlight into the patient's eyes, their pupils should dilate

 

✅

Rationale:

"I will confirm the patient's pupil size with the scale on the side of the penlight" (Met):

This is a correct use of the penlight to assess pupil size and document findings accurately.

"When putting the penlight at the bridge of the nose, the eyes converge and constrict" (Met):

This statement describes the normal accommodation reflex, where the eyes converge and pupils constrict when focusing on a near object.

"I will check the patient's pupillary reflex by shining a light into their eyes" (Met):

This correctly describes testing for the pupillary light reflex, where the pupil constricts in response to light.

"When shining the penlight into the patient's eyes, their pupils should dilate" (Not Met):

This is incorrect. The pupils should constrict in response to light, not dilate. Dilation occurs in response to low light or sympathetic stimulation.


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Related Questions

Correct Answer is B

Explanation

A. Six: The abdomen is typically not divided into six sections.

B. Four: Most healthcare providers divide the abdomen into four quadrants: right upper, left upper, right lower, and left lower.

C. Eight: Eight sections are not commonly used for abdominal assessment.

D. Nine: Nine sections are used in more detailed assessments but are less common than the four-quadrant approach.

Correct Answer is {"dropdown-group-1":"A"}

Explanation

Claudication due to arterial abnormalities in

Rationale: Intermittent claudication is a hallmark symptom of peripheral arterial disease (PAD). It is characterized by muscle pain or cramping in the lower extremities, typically triggered by exercise and relieved by rest. The pain occurs due to ischemia, or reduced blood flow, resulting from partial arterial obstruction.

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