A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of the following actions should the nurse take?
Position the examination light toward the client's face.
Stand on the right side of the client when examining the left eye.
Dim the lights in the room prior to the examination.
Place the ophthalmoscope directly against the client's forehead.
The Correct Answer is B
A. The examination light of the ophthalmoscope should be directed toward the client's eye, not the client's face.
B. When examining the left eye, the nurse should stand on the right side of the client to facilitate proper alignment of the ophthalmoscope with the client's eye.
C. Dimming the lights in the room may improve visualization of the client's internal eye
structures, but it is not typically necessary for ophthalmoscopic examination and may hinder the nurse's ability to assess the client effectively.
D. Placing the ophthalmoscope directly against the client's forehead would not facilitate proper examination of the internal eye structures and may cause discomfort to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Delegating tasks to appropriate personnel is an important skill, but effective time management also involves personal task completion.
B. Completing activities for one client before moving to the next helps ensure tasks are not left incomplete and promotes organized workflow.
C. Focusing on objectives rather than just activities is a more comprehensive approach to time management, ensuring tasks align with goals.
D. Skipping break times can lead to burnout and decreased efficiency over time, rather than improving time management skills.
Correct Answer is D
Explanation
A. Restricting dietary calcium intake is not typically recommended for preventing nephrolithiasis; in fact, adequate calcium intake may decrease the risk of kidney stone formation.
B. Limiting fluid intake is not recommended for individuals with nephrolithiasis; adequate fluid intake helps prevent kidney stone formation.
C. Complex carbohydrates do not significantly impact the risk of nephrolithiasis; dietary changes should focus on other factors such as oxalate intake.
D. Foods high in oxalates, such as spinach, beets, nuts, and chocolate, can contribute to the formation of kidney stones in susceptible individuals, so it's important to avoid them.
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