Intense pain with movement of the pinna is most closely associated with:
a. otitis media with effusion.
b. otitis externa.
c. purulent otitis media.
d. bacterial otitis media.
B
Otitis externa (swimmer's ear) should be suspected when pulling of the pinna reproduces ear pain.
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A 54-year-old male has just been diagnosed with nonsmall cell lung cancer. The patient asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What is the nurse's best response?
A) "The cells in small cell cancer of the lung are so small that it is hard to get them all out of the lung with surgery." B) "Small cell lung cancer does not respond well to surgical treatment." C) "You will have to ask the physician that question." D) "Small cell cancer of the lung grows rapidly and metastasizes early and extensively."
Regularly use an alcohol hand cleaner to prevent infection with Clostridium difficile.
Answer the following statement true (T) or false (F)
A client is being treated for bleeding esophageal varices with an esophagogastric tube. Which of the following nursing interventions is considered the priority for the care of this client?
A. Keeping the client sedated to prevent dislodgement of the tube B. Maintaining balloon pressure between 15 and 20 mm Hg C. Irrigating the gastric lumen with normal saline D. Suctioning the oral cavity of secretions
The nurse expresses ambivalence about the use of electroconvulsive therapy (ECT). How can this attitude influence client care?
1. This attitude may be communicated to the client and the family, thus hindering the nursing care. 2. The client may be unaware of the nurse's attitude. 3. The nurse's attitude may spread to other staff members. 4. The nurse's ambivalence will have no effect as long as the nurse is professional.