An 18-month-old child was taken to the pediatric after-hours clinic by her mother. The child had been fussy for the past 2 days and had developed a fever earlier in the day, which did not respond well to antipyretics
The mother of the child was concerned that she had an ear infection and requested the nurse to examine the child's ears. On examination the nurse found the right eardrum pink and bulging. How should a normal eardrum appear? A. Pink
B. Red
C. Pearly gray
D. Brown
C
The normal eardrum is translucent, shiny, and pearly gray. It is free from tears or breaks. A pink or red bulging membrane indicates inflammation. A white color reveals pus behind it. The membrane is taut, except for the small triangular pars flaccida near the top. If cerumen is blocking the tympanic membrane, warm water irrigation will safely remove the wax.
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A patient is complaining of extreme thirst and is drinking water constantly. He also excretes large volumes of dilute-appearing urine and is being evaluated for psychogenic water drinking versus central diabetes insipidus
If the patient has diabetes insipidus, what pattern of laboratory results would the nurse expect? A) High urine osmolality, low serum osmolality, and high urine specific gravity B) High urine osmolality, normal serum osmolality, and high urine specific gravity C) Low urine osmolality, normal serum osmolality, and low urine specific gravity D) Low urine osmolality, high serum osmolality, and low urine specific gravity
The case manager has the option to refer a client with severe mental illness to a vocational
rehabilitation program. Which model, supported by evidence, should the nurse choose for the client? a. Referral to a state vocational rehabilitation agency for prevocational training b. Referral to a sheltered workshop with later placement in a competitive job c. Job placement followed by individualized, on-the-job training d. Cognitive interventions alternating with job skill training
In the care of preterm infants, nasogastric and orogastric tubes are used to:
1. help maintain body temperature. 2. provide oxygen and ventilation. 3. replace surfactants. 4. feed the infant.
The nursing instructor has given an assignment to a group of nurse practitioner students. They are to break into groups of four and complete a health-promotion teaching project, then present a report back to their fellow students
What project is the best example of health-promotion teaching? A) Demonstrating an injection technique to a client for anticoagulant therapy B) Explaining the side effects of a medication to an adult client C) Discussing the importance of preventing sexually transmitted disease to a group of 12th-grade students D) Instructing an adolescent client about safe food preparation