A 64-year-old client is prescribed bifocals to correct myopia and presbyopia.
To evaluate the effectiveness of the lenses, the nurse will assess the client for:

Symmetry of extraocular movement.

Both near and distant vision.

Cloudiness in the lens of the eye.

Intraocular pressure changes.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Symmetry of extraocular movements assesses cranial nerve function but does not relate to the corrective purpose of bifocals, which is addressing near and distant vision issues caused by presbyopia and myopia.

Choice B rationale

Bifocals correct presbyopia and myopia by combining lenses for near and distant vision in one frame. Effectiveness is assessed by evaluating improvements in both visual ranges, ensuring accommodation and refraction are properly corrected.

Choice C rationale

Cloudiness in the lens indicates cataracts, which bifocals cannot correct. Cataracts require surgical intervention, making this assessment irrelevant to determining bifocal lens effectiveness for presbyopia and myopia.

Choice D rationale

Intraocular pressure changes relate to glaucoma, not refractive issues like myopia or presbyopia. Monitoring for glaucoma requires tonometry, independent of bifocal lens evaluation.

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Correct Answer is ["D","E"]

Explanation

Choice A rationale

Weekly appointments to change the catheter are unnecessary unless specifically indicated. Most urinary catheters are changed monthly or as needed based on physician's discretion or complications.

Choice B rationale

Sexual intimacy is possible with an indwelling urinary catheter if handled properly. Providing education on safe practices promotes normalcy and quality of life for the patient.

Choice C rationale

Wearing underwear is recommended to protect the catheter and minimize risk of contamination or accidental dislodgement. This information supports proper hygiene and comfort.

Choice D rationale

Regular emptying of the leg bag every 4 hours or more frequently prevents overfilling, which could lead to backflow and increased risk of urinary tract infections.

Choice E rationale

Foul-smelling, cloudy urine can indicate infection such as a urinary tract infection. Prompt reporting ensures early treatment and prevention of complications.

A. By threading it through the femoral artery to the brain. B. To monitor intracranial pressure (ICP) and drain cerebral spinal fluid. C. After the patient has an electroencephalogram (EEG). D. Due to having minimal risk for infection.

Correct Answer is B

Explanation

Choice A rationale

Ventriculostomies are inserted directly through the skull into the ventricles, not via the femoral artery. This method provides direct access to cerebrospinal fluid for drainage and pressure monitoring.

Choice B rationale

Ventriculostomies are placed to monitor intracranial pressure and drain excess cerebrospinal fluid, managing conditions like hydrocephalus or elevated intracranial pressure following brain injury or surgery.

Choice C rationale

An EEG monitors electrical brain activity but is unrelated to ventriculostomy placement. Ventriculostomy focuses on fluid drainage and pressure management, not on electrical diagnostic procedures.

Choice D rationale

Ventriculostomies carry a significant risk of infection due to the invasive nature of the procedure. Proper aseptic technique is critical to minimizing, not eliminating, the risk of infection.

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A 64-year-old client is prescribed bifocals to correct myopia and presbyopia.To evaluate the effectiveness of the lenses, the nurse will assess the client for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing discharge instructions for a patient with a spinal cord injury to T-10 going home with an indwelling urinary catheter.What would the nurse emphasize about catheter care? (Select All that Apply.)

Correct Answer is ["D","E"]

Explanation

The nurse is educating on the placement of a ventriculostomy (intraventricular catheter) to the family of a patient diagnosed with a brain injury.The nurse states, "The ventriculostomy is placed:

Correct Answer is B

Explanation

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A 64-year-old client is prescribed bifocals to correct myopia and presbyopia.
To evaluate the effectiveness of the lenses, the nurse will assess the client for: