The nurse is testing the patient’s eyes for accommodation by holding a finger in front of the eyes and asking the patient to look at a point over the nurse’s shoulder then look at the finger. The nurse documents which bilateral response as normal?

The nurse is most concerned with encouraging the patient with multiple myeloma to ambulate frequently to prevent which complication? 

The 18-year-old patient in sickle cell crisis has received multiple blood transfusions. During the shift assessment, the nurse notes the patient’s heart rate is 132 bpm, blood pressure is 102/58 mmHg, and the sclera are yellow. Which lab result would be surprising for this patient?