In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge. This is most likely indicative of:
A. Bacterial sinusitis
B. Allergic rhinitis
C. Drug abuse
D. Skull fracture
ANS: B
When examining the nose, assess the mucosa for integrity, color, moistness, and edema/lesions and the nasal septum for patency. The turbinates should be assessed for color and size. Pale, boggy turbinates suggest allergies; erythematous, swollen turbinates are often seen with infection. Any discharge should be noted. Clear, profuse discharge is often associated with allergies.
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Multiple myeloma occurs predominantly in which patients?
A) Young Black patients B) Young White patients C) Elderly Black patients D) Elderly White patients
Base of support is:
a. The way the head, trunk, arms, and legs are aligned with one another b. Posture c. The area on which an object rests d. Ergonomics
During shift report, the nurse hears that a pt with GBS has a decrease in vital capacity that is less than 2/3 of normal, and there is a progressive inability to clear and cough up secretions. The physician has been notified and is coming to evaluate the pt. What intervention is the nurse prepared to implement for this pt?
a. frequent oral suctioning b. rigorous chest physiotherapy c. elective intubation d. elective tracheostomy
The nurse is working with a client who has recently had a colostomy. The client is having difficulty using the supplies that are provided for the ostomy care
The nurse investigates the other types of available supplies and works with the client to see which ones work best for him or her. This is an example of which type of critical thinking strategy? a. Inference b. Problem solving c. Management d. Diagnostic reasoning