Exam 25: Sensory Perception

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The patient who had a hip replacement yesterday has a visual acuity of 20/200 after correction.To provide recreational activities during the rehabilitation phase,the nurse should

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C

The nurse requests that a mother give permission for a hearing test in a newborn infant.The mother questions the importance of such a test.The nurse correctly responds with which of the following statements?

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D

Mr.Smith is complaining of decreased appetite.He states he just finished taking his antibiotics for an episode of pneumonia.The nurse's best response would be which of the following?

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D

During the examination of the ear,a dark yellow substance is noted in the ear canal.The tympanic membrane is not visible.The patient's wife complains that he never hears what she says lately.These findings would suggest that the nurse prepare the patient for

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Mrs.J,a 57-year-old woman,walks into the emergency department with complaints of "not feeling well." Her blood pressure is 145/95,pulse 85 beats/min,respirations 24 breaths/min,and blood sugar 300.Upon inspection,the nurse notices that Mrs.J has an open wound on the bottom of her foot,but the patient states she is not aware of this.The nurse interprets this response as

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The nurse is providing health teaching to a group of mothers of school-aged children.Which statement by a mother indicates the need for additional instruction?

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The nurse is examining the eyes of a newborn infant.If the nurse notes the absence of the red reflex,she would

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Mr.K,an 80-year-old patient,is being discharged after he was diagnosed with diabetes mellitus and retinopathy.His daughter has been part of the discharge instruction process.Understanding of the instructions is evident in when the daughter says which of the following?

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An 80-year-old patient has a hearing deficit which he states is getting worse; his hearing aid needs to be replaced.He states he attends church but cannot understand the sermon anymore.He hates to go out to events because his hearing aid makes everything "noisy." He notes "nothing is the same." During the assessment he asks the nurse to repeat the question frequently.Nursing diagnoses would include which of the following? (Select all that apply.)

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