Which implementation is appropriate in the care plan for a visually impaired person?

Leaving the bed in the highest position

Leaving the radio on all the time to help the patient know the time of day

Announcing your presence when you enter and leave the room

Keeping the door closed

Answer and Explanation

The Correct Answer is C

a) Leaving the bed in the highest position: This could create a fall risk for the visually impaired person, so it is not an appropriate intervention.
b) Leaving the radio on all the time to help the patient know the time of day: While this may provide some information, it is not the most effective approach for supporting a visually impaired client.
c) Announcing your presence when you enter and leave the room: This is an essential intervention to orient a visually impaired person and help them understand the environment.
d) Keeping the door closed: This could pose a safety risk by limiting the client’s ability to orient to the surroundings. It is generally better to keep doors open for better access and awareness.

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Correct Answer is C

Explanation

a) Severely increased: A reading of 17 mm Hg is within the normal range for intraocular pressure (IOP), which is typically 10-21 mm Hg.
b) Slightly increased: A reading of 17 mm Hg is within the normal range and does not indicate an increased IOP.
c) Normal: A reading of 17 mm Hg is considered within the normal range for intraocular pressure.
d) Decreased: A reading of 17 mm Hg does not indicate decreased intraocular pressure.

A. Allergic rhinitis B. Impacted wisdom teeth C. Nasal polyps D. Sinusitis

Correct Answer is D

Explanation

a) Allergic rhinitis: Allergic rhinitis typically causes symptoms like sneezing, itchy eyes, and nasal congestion, but it does not typically present with the toothache-like pain or the fullness in the head seen in sinusitis.
b) Impacted wisdom teeth: Impacted wisdom teeth may cause pain in the jaw or gums, but they would not be associated with the fullness in the head or symptoms specific to sinus pressure.
c) Nasal polyps: Nasal polyps can cause nasal congestion or a runny nose, but they usually don't cause the specific symptoms of headache, facial pain, or fullness seen in sinusitis.
d) Sinusitis: The symptoms described (morning headaches, fullness in the head, and pain similar to a toothache under the eye) are indicative of sinusitis, an inflammation of the sinuses, which can cause these specific types of discomfort.

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Which implementation is appropriate in the care plan for a visually impaired person?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting with tonometry on a patient at the ophthalmologist's office. The results indicate the patient's reading to be 17 mm Hg. The nurse interprets this result as IOP.

Correct Answer is C

Explanation

A patient complains of morning headaches, a feeling of fullness in her head, and a pain similar to that of a toothache under her eye. What should the nurse recognize that these symptoms indicate?

Correct Answer is D

Explanation

A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of the following actions should the nurse take first?

A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

When patients have their IOP measured, it determines the eye's what?

A nurse at a provider's office is collecting data from a client who reports taking pseudoephedrine for sinus problems. The nurse should recognize that which of the following conditions from the client's history places the client at risk for harm while taking pseudoephedrine?

What is the mechanism of action of osmotic agents when used to decrease IOP?

A patient undergoing a Weber test says that the sound is louder in her left ear. What should this result indicate?

What actions should a nurse implement when assessing a patient's accommodation? (Select all that apply.)

After keratoplasty, you observe that the patient's cornea is cloudy. What should you do?