The ff are the tonometer measurements of five clients. Which of them has normal intraocular pressure (IOP)? Choose all that apply
- A. 8 mm Hg
- B. 25 mm Hg
- C. 11 mm Hg
- D. 28 mm Hg
Correct Answer: C
Rationale: Normal intraocular pressure (IOP) typically ranges between 10 and 21 mm Hg. For this reason, the tonometer measurements of 11 mm Hg and 20 mm Hg fall within the normal range. Therefore, clients with these IOP values (Option C and E) have normal intraocular pressure. The other options (A, B, and D) are outside the normal range for IOP and are therefore considered elevated.
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The nurse should expect Mr. Gabatan to have some spasticity of the lower extremities. To prevent the development of contractures, careful consideration must be given to:
- A. Active exercise
- B. Use of tilt board
- C. Deep massage
- D. Proper positioning
Correct Answer: D
Rationale: Proper positioning is crucial in preventing the development of contractures in patients with spasticity of the lower extremities. Contractures can result from prolonged positioning in a way that shortens the muscle-tendon unit. By ensuring proper positioning, the nurse can help maintain the muscles and joints in a neutral and extended position, minimizing the risk of contractures. This may involve positioning supports such as pillows, splints, or footboards to keep the limbs in an optimal position.
A client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg PO daily. Which finding should the nurse recognize as an adverse effect?
- A. Dysuria
- B. Tachycardia
- C. Leg cramps
- D. Blurred vision
Correct Answer: B
Rationale: Levothyroxine is a synthetic form of thyroid hormone used to treat hypothyroidism. An adverse effect of levothyroxine therapy is the development of tachycardia, which is an abnormally rapid heart rate. This is due to the increased metabolic rate resulting from the thyroid hormone replacement. Dysuria (painful urination), leg cramps, and blurred vision are not typically associated with levothyroxine therapy for hypothyroidism.
Which type of neuron transmits impulses from the central nervous system to the muscles and glands?
- A. Afferent
- B. Efferent
- C. Affective
- D. Effective
Correct Answer: B
Rationale: Efferent neurons, also known as motor neurons, transmit impulses from the central nervous system (brain and spinal cord) to the muscles and glands in the body. These neurons are responsible for inducing muscle contraction or glandular secretion in response to signals from the brain or spinal cord. In contrast, afferent neurons transmit impulses from sensory receptors to the central nervous system to convey sensory information. Thus, the correct answer is efferent neurons.
Which information should the nurse give a mother regarding the introduction of solid foods during infancy?
- A. Solid foods should not be introduced until 8 to 10 months, when the extrusion reflex begins to disappear.
- B. Foods should be introduced one at a time, at intervals of 4 to 7 days.
- C. Solid foods can be mixed in a bottle to make the transition easier for the infant.
- D. Fruits and vegetables should be introduced into the diet first.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At what age can most infants sit steadily unsupported?
- A. 4 months
- B. 6 months
- C. 8 months
- D. 10 months
Correct Answer: C
Rationale: Most infants can sit steadily unsupported at around 8 months of age. By this time, they have developed sufficient strength and control in their core muscles to sit up without support. It is important for parents to provide a safe environment for their infants to practice sitting up and to always supervise them during this milestone development.