When assessing the eyes of a pediatric patient, you find blood in the anterior chamber of the eye. What term is used for this condition?
A) Hyphema
B) Raccoon eyes
C) Battle's sign
D) Periorbital ecchymosis
Answer: A) Hyphema
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Health care agencies present a mission statement and goals for public review. The nurse would anticipate which of the following as a goal for the agency providing culturally proficient care?
1. To display signs in simple English for clients learning the language 2. To display a sign in the waiting area outlining risks for various cultural groups 3. To sponsor seminars for various cultural groups on health-promotion activities 4. To provide classes in English for clients from another country
When assessing heart sounds, the nurse is aware that the time between S2 and S1:
A) Indicates inadequate blood pressure B) Indicates inadequate pulse pressure C) Corresponds to diastole D) Corresponds to systole
The nurse is caring for a child brought to the emergency department by a babysitter. The child needs an emergency appendectomy and the parents cannot be contacted. What would be the nurse's best response to this situation?
A) Have the babysitter sign the consent form even if she does not have signed papers to do so. B) Have the primary care physician for the child sign the consent form. C) Document failed attempts to obtain consent to allow emergency care without consent. D) Delay medical care until the child's next of kin can be contacted.
A depressed patient scheduled for an MRI asks about the purpose of the test and whether it will hurt. The response would include that the test: (Select all that apply.)
a. takes a picture of the brain. b. is used to diagnose mental illness. c. should not produce any physical pain. d. may be uncomfortable if tight spaces bother you. e. machinery produces loud noises while the test is being conducted.