Group: Bed Baths and Beyond
Topic Set 6
1. What is the correct procedure for performing an ophthalmoscopic examination on a client’s right eye? A) Instruct the client to look at the examiner’s nose and not move his/her eyes during the exam. B) Set ophthalmoscope on the plus 2 to 3 lens and hold it in front of the examiner’s right eye. C) From a distance of 8 to 12 inches and slightly to the side, shine the light into the client’s pupil. D) For optimum visualization, keep the ophthalmoscope at least 3 inches from the client’s eye.
Correct Answer: C
Rationale: The client should focus on a distant object in order to promote pupil dilation. The ophthalmoscope should be set on the 0 lens to …show more content…
While reviewing a client’s chart, the nurse notices that the female client has myasthenia gravis. Which of the following statements about neuromuscular blocking agents is true for a client with this condition?
A) The client may be less sensitive to the effects of a neuromuscular blocking agent
B) Succinylcholine shouldn’t be used; pancuronium may be used in a lower dosage
C) Pancuronium shouldn’t be used; succinylcholine may be used in a lower dosage
D) Pancuronium and succinylcholine both require cautious administration
Correct Answer: D
Rationale: The nurse must cautiously administer pancuronium, succinylcholine, and any other neuromuscular blocking agent to a client with myasthenia gravis. Such a client isn’t less sensitive to the effects of a neuromuscular blocking agent. Either succinylcholine or pancuronium can be administered in the usual adult dosage to a client with myasthenia gravis. 9. The nurse is assessing a 37-year-old client diagnosed with multiple sclerosis. Which of the following symptoms would the nurse expect to find?
A) Vision changes
B) Absent deep tendon reflexes
C) Tremors at rest
D) Flaccid muscles
Correct Answer: A
Rationale: Vision changes, such as diplopia, nystagmus, and blurred vision, are symptoms of multiple