Answer to Question 1
D
An abnormal drooping of the lid over the pupil is called ptosis, caused by edema or impairment of the third cranial nerve. In the older adult, ptosis results from a loss of elasticity that accompanies aging. An older adult frequently has lid margins that turn out (ectropion) or in (entropion).
Answer to Question 2
C
The nurse used diagnostic reasoning by using data (low white blood cells and little energy) to arrive at a patient's health problem/nursing diagnosis (Risk for Infection). Diagnostic reasoning is the analytical process for determining a patient's health problems. It requires you to assign meaning to the behaviors and physical signs and symptoms presented by a patient. Nurses do not make medical diagnoses; they make nursing diagnoses. The scientific method is one formal way (in this scenario the nurse did not use the formal approach) to approach a problem, plan a solution, test the solution, and come to a conclusion; it is usually used in research. Data collection is a component of assessment in the nursing process. In diagnostic reasoning you use patient data that you gather or collect to logically identify a problem. The nurse in this scenario is past data collection and has made a nursing diagnosis: Risk for Infection.
When working with the patient with impaired hearing, the interpreter needs to direct questions to th
The nurse is using Standard Precautions to draw blood.
Patient teaching - eye assessment
Positioning the Patient in the Fowler’s Position
Patient Physical Status Classification
Severe periodontitis in a patient with uncontrolled diabetes.