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

Move his or her finger slowly toward the patient's nose

Checking for a nystagmus

Assess for convergence

Observe for pupillary constriction.

Note blinking

Hold his or her finger approximately 20 inches in front of the patient's eyes.

Answer and Explanation

Correct Answer : A,C,D

a) Move his or her finger slowly toward the patient's nose: This is an appropriate action for testing accommodation, as it assesses the ability of the eyes to converge and maintain focus on the object as it moves closer.
b) Checking for a nystagmus: This is not directly related to accommodation, though nystagmus can be observed in other assessments for visual and neurological conditions.
c) Assess for convergence: Convergence is part of the accommodation process. It involves the eyes turning inward to focus on a near object.
d) Observe for pupillary constriction: Pupillary constriction is a key part of the accommodation response when focusing on a near object.
e) Note blinking: This is not necessary for assessing accommodation. Blinking can occur for various reasons but is not a direct sign of accommodation.
f) Hold his or her finger approximately 20 inches in front of the patient's eyes: For accommodation testing, the object should be moved closer, typically within 6-8 inches from the eyes.

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Correct Answer is A

Explanation

a) A gradual hearing loss that occurs with aging: Presbycusis refers to the age-related gradual decline in hearing, especially in the higher frequencies. It is a common condition that affects older adults due to changes in the inner ear or auditory nerve.
b) Tinnitus that occurs with aging: Tinnitus, which is the perception of ringing or buzzing in the ears, is different from presbycusis. While tinnitus can occur with age, it is not synonymous with presbycusis, which specifically refers to age-related hearing loss.
c) A vision loss that occurs with aging: Vision loss associated with aging is called presbyopia, not presbycusis. Presbyopia is related to the loss of near-vision accommodation, while presbycusis is a hearing loss.
d) Nystagmus that occurs with aging: Nystagmus is an involuntary eye movement that is not specifically related to aging. It can occur in various neurological conditions but is not a hallmark of presbycusis.

A. Hypertension B. Overweight C. Eczema D. Migraine headaches

Correct Answer is A

Explanation

a) Hypertension: Pseudoephedrine is a sympathomimetic drug that can cause vasoconstriction, leading to increased blood pressure. Clients with hypertension are at higher risk for complications such as increased blood pressure, stroke, or other cardiovascular events.
b) Overweight: While being overweight may contribute to other health concerns, it does not specifically interact with pseudoephedrine in a way that places the client at risk for harm.
c) Eczema: Eczema, a skin condition, does not directly interact with pseudoephedrine and is not a contraindication for its use.
d) Migraine headaches: Although migraine sufferers may be sensitive to certain medications, pseudoephedrine does not pose a direct risk to clients with migraines. However, caution may be needed for any individual who is sensitive to changes in blood pressure.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that the health care provider has documented a diagnosis of presbycusis on a client's chart. The nurse understands that which describes this condition?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

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