The nurse performs a visual assessment on a patient and documents the findings using the acronym PERRLA. Which assessment finding does PERRLA indicate?

Palpebral angle rigid, right and left angles

Patient's eyes round, regular, lively, active

Pupils equal, round, and reactive to light and accommodation

Pupils equilateral, regular, round, little accommodation

Answer and Explanation

The Correct Answer is C

A. Palpebral angle rigid, right and left angles is not a part of the PERRLA assessment. The term refers to the space between the eyelids, which is not assessed with the PERRLA acronym.

B. Patient's eyes round, regular, lively, active is a description of the general appearance of the eyes but does not correspond to the PERRLA acronym, which specifically addresses the pupils' response to light and accommodation.

C. PERRLA stands for Pupils Equal, Round, and Reactive to Light and Accommodation. This means the pupils should be equal in size, round in shape, react to light (constricting when exposed to light), and accommodate (adjust) when focusing on near or far objects. This is a standard neurological assessment used to evaluate the functioning of the eyes and the nervous system.

D. Pupils equilateral, regular, round, little accommodation does not accurately describe PERRLA. The correct term is "accommodation," which refers to the pupils' ability to adjust when focusing on near or far objects, not "little accommodation."

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Correct Answer is A

Explanation

A. Providing a dark, quiet environment is an appropriate intervention for a client with a migraine headache. Migraines are often aggravated by bright lights and loud noises, so creating a calm, low-stimulation environment can help alleviate symptoms.

B. While caffeine can be a trigger for some individuals with migraines, it is not necessary to eliminate all caffeine. In fact, caffeine is sometimes included in medications for migraines to enhance their effectiveness.

C. Cognitive impairment is not a typical concern for migraines unless the headache is severe or prolonged. Monitoring for cognitive impairment would not be the primary action in this scenario.

D. Opioids are not recommended for the treatment of migraines due to their potential for abuse and side effects. NSAIDs, triptans, and other specific migraine treatments are preferred.

Correct Answer is ["2"]

Explanation

Set up the equation:

Desired dose / Available dose per tablet = Number of tablets

Plug in the values:

275 mcg / 137 mcg/tablet = Number of tablets

Calculate:

275 / 137 = 2.007

Round to the nearest whole number:

2.007 rounds to 2

Answer = 2 tablets

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The nurse performs a visual assessment on a patient and documents the findings using the acronym PERRLA. Which assessment finding does PERRLA indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care to a patient with a migraine headache. What action should the nurse take?

Correct Answer is A

Explanation

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. DO not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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