On examination of an 18-month-old child, the nurse found the right eardrum pink and bulging. How should a normal eardrum appear?
a. Pink
b. Red
c. Pearly gray
d. White
C
The normal eardrum is translucent, shiny, and pearly gray. It is free from tears or breaks. A pink or red bulging membrane indicates inflammation. A white color reveals pus behind it. The mem-brane is taut, except for the small triangular pars flaccida near the top. If cerumen is blocking the tympanic membrane, warm water irrigation will safely remove the wax.
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A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?
a. Type 2 diabetes mellitus b. Hypothyroidism c. Hypertension d. Angina
When planning interventions to address a client's crisis, the nurse should:
1. Focus on long-term problems. 2. Conduct a complete assessment. 3. Determine follow-up. 4. Develop the plan prior to meeting with the client.
A client is being discharged after a 23-hour stay for a surgical procedure. When preparing the instructions for this client, the nurse needs to:
1. Ensure the client's safe transition to home. 2. Include information about what the client has been taught. 3. Include what the client still needs to learn when discharged. 4. Check the client's insurance for hospitalization coverage. 5. Call the client's prescriptions in to the client's local pharmacy.
The nurse approaching a patient who has a profound hearing loss should:
a. knock on the door prior to entering. b. touch the patient on the hand to gain attention. c. give the patient a list of interventions that the nurse plans to perform. d. speak in a higher tone of voice.