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MED SURG Chapter 42 Changes in the Eye and Vision Related to Aging Structure/Function Change Implication Appearance Eyes appear “sunken” Arcus senilis forms Sclera yellows or appears blue Do not use eye appearance as an indicator for hydration status Reassure patient that this change does not affect vision Do not use sclera to assess for jaundice Cornea Cornea flattens, which blurs vision and can cause or worsen astigmatism Encourage older adults to have regular eye exams and ...

MS 1 Chapter 9  Malignant hyperthermia  an inherited muscle disorder, an acute, life-threatening complication of certain drugs used for general anesthesia.  Characterized by many problems, including inadequate thermoregulation.  Always ask patients about previous experiences with anesthesia, especially young adult males.  Lab assessment:  Presurgical lab tests provide baseline data about the patient’s health and can help predict potential complications.  Common t...

Which sign in the newborn infant would reflect an Apgar score of 1 in the category of respiration? Rationale A slow, weak cry would be scored as a 1 in the category of respiration in the Apgar scoring system. A good cry would receive a score of 2. A grimace is a sign that is evaluated in the category of reflex irritability, not respiration. Absent respiration would receive a score of 0 in the respiration category of the Apgar score system. Good cry Grimace Absent respiration Slow, weak ...

Which substance listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is considered addictive and therefore, a substance of possible abuse?Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Rationale Alcohol, caffeine, cannabis, hallucinogens, and antianxiety medications are all considered substances of abuse in the DSM-5. Tobacco, opioids, inhalants, sedatives, hypnotics, and stimulants are also li...

Nur 212 Making Client Care Assignments - GECC This assignment asks you to make client care assignments for the shift and articulate the rationale as to why each client was assigned. As the RN charge nurse, you are preparing to make assignments for the oncoming shift on the medical-surgical unit. There are a total of 10 adult clients. Besides yourself, there are the following staff: Your unit has 12 beds. Currently, your census is 11, with one empty bed. Please include your assignments for...

Which adverse effect would the nurse monitor for after administering vitamin K to a newborn? Select all that apply. One, some, or all responses may be correct. Rationale Adverse reactions associated with vitamin K injections rarely occur, but can include pain at the injection site, edema, and erythema. Jaundice and hemolysis are not known to be associated with Vitamin K administration. Test-Taking Tip: Be alert for details. Details provided in the stem of the item, such as behavioral change...

During a routine second-trimester visit to the prenatal clinic a client expresses concern regarding gaining weight and losing her figure. She says to the nurse, 'I’m going on a diet.' Which is the nurse's best response? Rationale Weight reduction is not advised during pregnancy; an additional 340 calories a day during the second trimester is recommended. When the client reaches the third trimester, another 120 calories should be added to her diet. A pregnant woman should not diet duri...

Which factor is the likely cause of the laboratory result when arterial blood gases done on a client who is being resuscitated after cardiac arrest show a low pH? 2/26/23, 9:30 PM Elsevier Adaptive Quizzing - Quiz performance Ketoacidosis Irregular heartbeat Lactic acid production Sodium bicarbonate administration Rationale Cardiac arrest causes decreased tissue perfusion, which results in anaerobic metabolism and lactic acid production. Fat-forming ketoacids occur in diabetes. An i...

Which stage of development classifies boys and girls as differing very little in terms of size? Rationale During the school-age stage of development, boys and girl differ very little in terms of size. During the toddler, preschool, and adolescence stages of development boys are often larger than girls. Attainment of which skills would be expected in a 7-month-old child? Toddler Preschool School-age Adolescence The child pulls themself to stand or sit. The child is able to pick up small...

By which age does the anterior fontanel of the skull close? Rationale The anterior fontanel usually closes between 12 and 18 months. Hence, 20 to 24 months, 26 to 30 months, and 32 to 36 months are all incorrect choices. Which statement is true about Piaget’s theory of cognitive development? 12 to 18 months 20 to 24 months 26 to 30 months 32 to 36 months Piaget’s theory includes five periods that are related to age. In the late preoperational stage, the children experience animism....