The nurse is caring for a client with external otitis. Which assessment finding indicates to the nurse that the client's infection has worsened?
a. The client now reports tinnitus and vertigo at night.
b. The client now has a positive Rinne test, with AC > BC.
c. The tympanic membrane is pearly gray with white patches.
d. The auricular lymph nodes have increased in size over the last 24 hours.
D
Enlargement of the auricular lymph nodes indicates that the client's external otitis is becoming more widespread and that current therapy is insufficient. Tinnitus, vertigo, and a positive Rinne test all indicate middle to inner ear problems not related to external otitis media. The tympanic membrane is normally pearly gray in color. White patches on the tympanic membrane are called tympanosclerosis and generally have no clinical importance.
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A nurse is caring for an older adult client who has a pulmonary infection. Which action should the nurse take first?
a. Encourage the client to increase fluid intake. b. Assess the client's level of consciousness. c. Raise the head of the bed to at least 45 degrees. d. Provide the client with humidified oxygen.
The nurse is considering a career as a nurse researcher. A nurse researcher is a nurse scientist who:
a. has a minimum of a bachelor's degree in nursing and acts as a client advocate in research studies. b. translates, applies, and evaluates new knowledge provided by research. c. is educated at the doctoral level with experience in the process of scientific inquiry. d. participates on research teams to plan, apply, and collect data.
The nurse recognizes that a characteristic of effective team collaboration includes which of the following?
a. It promotes inclusion of the client and family. b. It increases fragmentation of client care. c. It discourages synergistic creativity among professionals. d. Its goal is to duplicate efforts to promote safe, high-quality care.
A client asks the nurse how fat is carried in the blood. Which response should the nurse provide?
A. "Fats in your blood are carried inside small molecules called phospholipids." B. "Fats travel in the blood on little proteins called lipoproteins." C. "Fats are free floating in your circulatory system." D. "Fats are encapsulated inside little bags known as lecithin."