When assessing a client with glaucoma, a nurse expects which of the following findings?

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ATI Vital Signs Test 58 Questions Quizlet Questions

Question 1 of 5

When assessing a client with glaucoma, a nurse expects which of the following findings?

Correct Answer: B

Rationale: Glaucoma causes halos around lights (B) due to elevated intraocular pressure (IOP). Double vision (A) is unrelated, 15 mm Hg (C) is normal IOP, and a soft globe (D) suggests hypotony, not glaucoma.

Question 2 of 5

A confirmational test for gestational diabetes?

Correct Answer: C

Rationale: The glucose tolerance test (C) confirms gestational diabetes by measuring glucose response, the gold standard. Fasting sugar (A) and urine sugar (B) are screening tools.

Question 3 of 5

In adults, normal endotracheal suction pressure?

Correct Answer: B

Rationale: Normal endotracheal suction pressure in adults is 70-140 mm Hg (B) to safely remove secretions without trauma.

Question 4 of 5

The nurse is caring for a client with a chest tube following a thoracotomy. Which finding requires immediate intervention by the nurse?

Correct Answer: A

Rationale: Continuous bubbling in the water seal chamber (A) indicates an air leak, requiring immediate intervention. Fluctuation (B) is normal, 50 mL/hour drainage (C) is acceptable, and no crepitus (D) is expected.

Question 5 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin). Which instruction should the nurse include in the teaching plan?

Correct Answer: C

Rationale: Phenytoin causes gingival hyperplasia; gentle brushing (C) prevents gum issues. Stopping for a rash (A) requires medical advice, meals (B) aren’t required, and vitamin K (D) is unrelated.

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