The nurse notes that the patient's tympanic membrane (TM) is golden brown. There is thick, elastic drainage noted as well. Which conclusion by the nurse is accurate?

1) The patient has scar tissue from a previous ruptured TM.
2) The patient has bleeding as a result of trauma.
3) The patient is experiencing a complication of chronic otitis media.
4) The patient is experiencing adhesive otitis media.


ANS: 4

Nursing

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The nurse is teaching an parent of a young child with a newly diagnosed seizure disorder. The child has been put on valproic acid (Depakote) for control of seizures

The nurse determines that further instruction is needed when the parent states which of the following? 1. "I will not let him chew his tablet.". 2. "I will not use carbonated beverages to dilute his medication.". 3. "I will give his medicine on any empty stomach so he will absorb it better.". 4. "I will bring him to the physician office for regular blood work to check bleeding times.".

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The small intestine is the major site of

a. digestion and denaturation. b. segmentation and excretion. c. digestion and absorption. d. peristalsis and mechanical digestion.

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Which of the following structures, which has a direct connection to and from the hypothalamus, has been found in experiments to be involved in the emotions of fear, apprehension, sexual response, feeding, and sucking behaviors?

a. pons b. amygdala c. pituitary d. medulla oblongata

Nursing

The health care industry comprises systems that integrate financing, management, and delivery of services. Population management includes wellness and illness prevention. The use of integrated systems has had important consequences such as:

1. Management has shifted from inpatient care to primary care providers as points of entry. 2. Emphasis is on population health management rather than on episodes of illness for an individual. 3. Care management services and programs do not provide access and accountabili-ty, but case management services do. 4. Population management no longer requires assessment.

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