The clinic nurse is assessing a child with bacterial conjunctivitis (pink eye). Which assessment findings should the nurse expect? (Select all that apply.)
a. Itching
b. Swollen eyelids
c. Inflamed conjunctiva
d. Purulent eye drainage
e. Crusting of eyelids in the morning
ANS: B, C, D, E
The assessment findings in bacterial conjunctivitis include swollen eyelids, inflamed conjunctiva, purulent eye drainage, and crusting of eyelids in the morning. Itching is seen with allergic conjunctivitis but not with bacterial conjunctivitis.
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Which laboratory finding in a client with polycythemia vera indicates that phlebotomy alone is no longer effective in managing this problem?
A. Hematocrit has increased from 55% to 75% B. Hemoglobin A1c has decreased from 8.0% to 7.0% C. Platelet count has increased from 120,000 to 150,000 D. Segmented neutrophils outnumber the band neutrophils.
Because your client has decreased cardiac output, a priority of care is to conserve the client's energy. What can you do to facilitate this goal?
1. Restrict all visitors. 2. Plan a 30-minute rest period after breakfast before giving the client a bath. 3. Bathe and ambulate the client early, then schedule a 2-hour rest period. 4. Encourage the client to play relaxing music periodically during the day.
Promethazine is used to treat motion sickness
Indicate whether the statement is true or false.
What will the nurse instruct the client to do to prevent the development of tolerance to nitroglycerin?
a. Apply the nitroglycerin patch every other day. b. Switch to sublingual nitroglycerin when the client's systolic blood pressure elevates to more than 140 mm Hg. c. Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night. d. Use the nitroglycerin patch for acute episodes of angina only.