NURS620 EXAM 1 FULL TEST BANK EXPERT VERIFIED ANSWERS INCLUDED WITH DETAILED RATIONALES EXACT EXAM QUESTIONS GUARANTEED PASS 2023/2024

NURS620 EXAM 1 FULL TEST BANK EXPERT VERIFIED ANSWERS INCLUDED WITH DETAILED RATIONALES EXACT EXAM QUESTI ONS GUARANTEED PASS 2023/2024 Acute otitis media is diagnosed when there is: A. fluid in the middle ear without signs or symptoms of an ear infection. B. a diagnosis of three or more episodes of otitis media within 1 year. C. fluid in the middle ear accompanied by otalgia and fever. D. fluid within the middle ear for at least 3 months. fluid in the middle ear accompanied by otalgia and fever Acute otitis media is diagnosed when there is fluid in the middle ear accompanied by signs or symptoms of an ear infection, including fever and otalgia. During the acute stage, acute otitis media is very painful. Inappropriate or ineffective treatment can lead to otitis media with effusion, which is often painless. An acute infection implies a current, not chronic, problem. A child's central visual a cuity is 20/30 by age: A. 18 months. B. 2 years. C. 3 years. D. 4 years. 3 years A child ' s central visual acuity is 20/30 by age 3. At birth, an infant can see about 12 in. away, an approximate 20/300 central visual acuity. It improves to 20/40 by age 2, 20/30 by age 3, and 20/20 by age 4. Nathan, age 19, is a college swimmer. He frequently gets swimmer's ear and asks if there is anything he can do to help prevent it other than wearing earplugs, which don't really work for him. What do you suggest? A. Use a cotton -tipped applicator to dry the ears after swimming. B. Use ear drops made of a solution of equal parts of alcohol and vinegar in each ear after swimming. C. Use a hair dryer on the highest setting to dry the ears. D. Tell Nathan he must change h is sport. Use ear drops made of a solution of equal parts of alcohol and vinegar in each ear after swimming. Using ear drops made of a solution of equal parts of alcohol & vinegar in each ear after swimming is effective in drying the ear canal and maintai ning an acidic environment, therefore preventing a favorable medium for the growth of bacteria, the cause of swimmer ' s ear. The adage " you shouldn't put anything smaller than your elbow in your ear " holds true today. A hair dryer on the lowest setting several inches from the ear may be used to dry the canal. Jill presents with symptoms of hay fever, and you assess the nasal mucosa of her turbinates to be pale. What diagnosis do you suspect? A. Allergic rhinitis B. Viral rhinitis C. Nasal polyps D. Nasal vestibulitis from folliculitis Allergic rhinitis The symptoms of hay fever, also called allergic rhinitis, are similar to those of viral rhinitis but usually persist and are seasonal in nature. When assessing the nasal mucosa, you will observe that the turbinates are usually pale or violaceous because of venous engorgement with allergic rhinitis. With viral rhinitis, the mucosa is usually erythematous, and with nasal polyps, there are usually yellowish, boggy masses of hypertrophic mucosa. Nasal v estibulitis usually results from folliculitis of the hairs that line the nares. Greg, age 72, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Greg reports that his vision is "like looking thr ough a veil." He also sees floaters and flashing lights but is not having any pain. What do you suspect? A. Cataracts B. Glaucoma C. Retinal detachment D. Iritis Retinal Detachment A client with retinal detachment complains of a sudden change in vision ( either blurry vision, flashing lights, or floaters) but has no pain. On ophthalmoscopy, the retina appears pale, opaque, and folds in and undulates freely as the eye moves. Retinal detachment is an emergency and requires immediate surgery, usually scleral buckling, in which an encircling silicon band is used to keep the choroid in contact with the retina to promote attachment. Iritis is characterized by severe pain. Cataracts and most cases of glaucoma usually present as a gradual change in vision, not a su dden change. Leah, 4 months old, has both eyes turning inward. What is this called? A. Pseudostrabismus B. Strabismus C. Esotropia D. Exotropia Esotropia. Esotropia is the inward turning of the eyes. Exotropia is the outward turning of the eyes. Strabi smus, also called tropia, is the constant malalignment of the eye axes. It is likely to cause amblyopia. Pseudostrabismus has the appearance of strabismus because of the presence of epicanthic folds but is normal in young children. A common cause of conduc tive hearing loss in adults ages 20 -40 is: A. trauma. B. otitis media. C. presbycusis. D. otosclerosis. Otosclerosis A common cause of conductive hearing loss in adults ages 20 - 40 is otosclerosis, a gradual hardening of the tympanic membrane that cause s the footplate of the stapes to become fixed in the oval window. Presbycusis, a progressive, bilaterally symmetrical perceptive hearing loss arising from structural changes in the hearing organs, usually occurs after age 50. Trauma may result in a conduct ive hearing loss, but this is certainly not common. A client complains of frequent bouts of severe, intense, disabling left -sided facial pain accompanied by excessive left eye lacrimation (tearing) and worsening anxiety. The pain wakes him at night, and he has even contemplated harming himself during these episodes due to the intensity and unrelenting nature of the pain. What kind of headache is he describing? A. Classic migraine B. Tension headache C. Sinus headache D. Cluster headache Cluster headache Cluster headaches come in clusters as this client describes, with exquisite pain awakening the client from sleep. Excessive lacrimation and sweating on the affected side is common. Though this client' s pain is unilateral, he does not complain of photophobi a and has never had an aura, facts that tend to lead away from a diagnosis of classic migraine. Because the pain is at night, tension headache is a less likely diagnosis. Sinus headache would usually be precipitated by allergies or cold symptoms with nasal congestion. Joy, age 36, has a sudden onset of shivering, sweating, headache, aching in the orbits, and general malaise and misery. Her temperature is 102.F. You diagnose influenza(flu). What is your next course of action? A. Order amoxicillin (Amoxil) 5 00 mg every 12 hours for 7 days. B. Prescribe rest, fluids, acetaminophen (Tylenol), and possibly a decongestant and an antitussive. C. Order a complete blood count. D. Consult with your collaborating physician. Management of influenza (flu) is generally symptomatic and includes rest, fluids, acetaminophen (Tylenol), and possibly a decongestant and an antitussive. The client should be advised to call in 4 days if symptoms have not resolved. Mattie, age 64, present s with blurred vision in one eye and states that it felt like "a curtain came down over my eye." She doesn't have any pain or redness. What do you suspect? A. Retinal detachment B. Acute angle -closure glaucoma C. Open -angle glaucoma D. Cataract Retinal De tachment The classic sign of retinal detachment is a client stating that " a curtain came down over my eye. " Typically, the person presents with blurred vision in one eye that becomes progressively worse, with no pain or redness. With acute angle -closure glaucoma, there is a rapid onset in older adults, with severe pain and profound visual loss. The eye is red, with a steamy cornea and a dilated pupil. With open -angle glaucoma, there is an insidious onset in older adults, a gradual loss of peripheral visi on over a period of years, and perception of " halos " around lights. With a cataract, there is blurred vision that is progressive over months or years and no pain or redness.