During a history a client complains of itching, swelling, and drainage from the eyes with a postnasal drip and sneezing. What type of nasal drainage does the nurse anticipate seeing during inspection of this client's nares?
a. Clear
b. Malodorous
c. Yellow
d. Greenish
ANS: A
You might also like to view...
The hand grasps of a client with acidosis have diminished since the previous assessment 1 hour ago. What action does the nurse take next?
a. Assess client's rate, rhythm, and depth of respiration. b. Measure the client's pulse and blood pressure. c. Document findings and continue to monitor. d. Notify the physician as soon as possible.
A breastfeeding client who was discharged yesterday calls to ask about a tender hard area on her right breast. What should be the nurse's first response?
a. "This is a normal response in breastfeeding mothers." b. "Notify your doctor so he can start you on antibiotics." c. "Stop breastfeeding because you probably have an infection." d. "Try massaging the area and apply heat; it is probably a plugged duct."
A patient comes to the emergency department complaining of severe, substernal chest pain. He is restless and anxious. Which statement by the nurse appropriately offers reassurance?
1) "I'll give you some medication to help relieve the pain." 2) "If you lie still and relax, you'll be fine in a little while." 3) "Everything is going to be okay. 4) "Don't worry; we're going to take good care of you."
The client uses a two-piece pouch for a colostomy. Which does the nurse implement to empty the colostomy bag?
1. Removes the pouch and leaves the skin barrier in place 2. Removes and disposes of the pouch and the skin barrier 3. Drains pouch, flushes it warm water, and closes the end 4. Drains pouch, washes skin barrier, and replaces the pouch