The nurse is observing a child following an eye injury. Which manifestation indicates to the nurse that the uninjured eye may be exhibiting signs of an inflammatory reaction?
A) Swelling or dryness
B) Brightness of vision
C) Discharge of purulent drainage
D) Photophobia or intolerance to light
Ans: D
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Which manifestation would the nurse expect in a female patient with trichomoniasis?
A) A discharge with a sweet odor B) Discharge with pH great than 5 C) Small white dots on the pubic hair D) Genital chancres
A 2-year-old boy is seen for acute laryngotracheobronchitis. Which of the following observations would lead you to suspect that airway occlusion is occurring?
A) He states he is tired and wants to sleep. B) His respiratory rate is gradually increasing. C) His cough is becoming harsher. D) His nasal discharge is increasing.
Which does the nurse consider a normal finding during the assessment of the adult client's lower extremities?
1. Tissue necrosis 2. Distal ischemia 3. Negative Babinski reflex 4. Negative Romberg's test
P.M. care includes:
A) providing an opportunity for patients to empty their bladder on the toilet or in a bedpan/urinal B) assisting with oral hygiene C) washing face and hands D) all of the above