while completing a health history the client reports experiencing blurring of vision in both eyes without associated pain what condition does the nurs
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Nursing Elites

ATI RN

Multi Dimensional Care | Final Exam

1. While completing a health history the client reports experiencing blurring of vision in both eyes without associated pain. What condition does the nurse suspect?

Correct answer: B

Rationale: Cataracts can cause blurring of vision in both eyes without associated pain.

2. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?

Correct answer: B

Rationale:

3. The nurse is assessing a client who had a cast placed 4 hours ago. What assessment finding is cause for concern?

Correct answer: B

Rationale: Inability to insert a finger between the cast and skin indicates the cast is too tight, risking circulation problems.

4. Which finding is not typically associated with inflammation in a client?

Correct answer: C

Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.

5. What health teaching would not help an older adult avoid a musculoskeletal injury?

Correct answer: A

Rationale: Avoiding home modifications can increase the risk of falls and injuries in older adults.

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