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.
Nurse-patient interaction; nonveral communication
Respiratory Assistive Devices, Patient Using a Peak Flow Meter
C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
GUIDELINES FOR ASSESSING MEMBERS OF VULNERABLE POPULATION GROUPS
An ultrasound being performed on a patient.