The nurse is preparing to perform an eye assessment. What ...

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The nurse is preparing to perform an eye assessment. What equipment will the nurse need to complete this assessment?
 
  1. Penlight.
  2. Snellen's chart.
  3. Sterile gloves.
  4. Gauze square.
  5. Millimeter ruler.

Question 2

The nurse is assessing the peripheral vascular status of an older client. Which finding would be considered normal for this client?
 
  1. Easy to palpate upper extremity arteries.
  2. Easy to palpate lower extremity arteries.
  3. Reduction in the number of varicosities.
  4. Increase in diastolic blood pressure.

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Answer to Question 1

Correct Answer: 1,2,4,5
Rationale 1: When performing an eye examination, the nurse will need a penlight.
Rationale 2: When performing an eye examination, the nurse will need a Snellen's chart.
Rationale 3: Sterile gloves are not needed to perform an eye assessment.
Rationale 4: When performing an eye examination, the nurse will need a gauze square.
Rationale 5: When performing an eye examination, the nurse will need a millimeter ruler.

Answer to Question 2

Correct Answer: 1
Rationale 1: In some older clients, arteries may be palpated more easily because of the loss of supportive surrounding tissues.
Rationale 2: The most distal pulses of the lower extremities are more difficult to palpate, not easier to palpate, because of decreased arterial perfusion.
Rationale 3: The number of varicosities increases in the older client.
Rationale 4: The systolic blood pressure might increase.

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Gracias!

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