Author Question: An older adult complains about experiencing dry eyes daily. Which of the following should the nurse ... (Read 94 times)

jhjkgdfhk · **on:** Jul 11, 2018

An older adult complains about experiencing dry eyes daily. Which of the following should the nurse assess to help eliminate Sjgren's syndrome as a potential cause of the patient's complaint?

a. Vitamin A deficiency
b. Environmental allergies
c. Diabetes mellitus history
d. Peripheral arterial disease (PAD)

Question 2

The federal government requires the use of a specific standardized documentation tool for home nursing care. Which information must a home nurse add to the approved do-cumentation tool?

a. Activity
b. Vital signs
c. Functional
d. Demographic

kswal303 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D

Feedback
A Incorrect. Vitamin A deficiency is not a risk factor for Sjgren's syndrome.
B Incorrect. Sjgren's syndrome is an autoimmune disorder unrelated to environ-mental allergies; even if the patient has an environmental allergy, it does not eliminate the possibility of Sjgren's syndrome.
C Incorrect. Diabetes mellitus is an endocrine disorder, and dry eyes are an exo-crine disorder.
D Correct. Because Raynaud's phenomenon is a risk factor for Sjgren's syn-drome, the nurse assesses the older adult to detect clinical indicators of PAD such as peripheral pallor, cyanosis, or erythema resulting from exposure to the cold or from emotional distress.

Answer to Question 2

B

Feedback
A Incorrect. The nurse does not need to add information about the older adult's activity level.
B Correct. The nurse must add the vital signs and information about the older adult's health care beliefs to the Outcomes and Assessment Information Set (OASIS).
C Incorrect. The nurse does not need to add information about the older adult's functional status.
D Incorrect. The nurse does not need to add demographic information about the older adult to the documentation tool.