A nurse is collecting data from a client who was involved in a motor-vehicle crash.Which of the following techniques should the nurse use to test for corneal reflexes?

Visualize the red reflex of the eye.

Examine the eye with a penlight.

Lightly touch the eye with a wisp of cotton.

instill drops of dye into the eye.

Answer and Explanation

The Correct Answer is C

A.   This is a technique used for assessing the fundus and is not related to corneal reflexes.
B.   This is used for general eye examination but does not specifically test corneal reflexes.
C.   This tests the corneal reflex, where a blink response indicates the reflex is intact.
D.   This is used for assessing corneal abrasions or ulcers but is not a method to test corneal reflexes.

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Correct Answer is ["A","D"]

Explanation

A. Using clean technique helps prevent contamination during catheter dressing changes.
B. Changing the catheter dressing every 2 days may not be necessary, and frequency should be based on the facility's policy and the client's condition.
C. Povidone-iodine is not the recommended antiseptic for cleaning the access port.
Alcohol or chlorhexidine is typically recommended.
D. Proper hand hygiene is crucial to prevent introducing pathogens during catheter care.
E. Using friction when cleaning the access port is not a recommended practice and may cause damage. Cleaning should be done gently to avoid compromising the integrity of the site.

A. Albuterol B. Hydrocortisone sodium succinate C. Diphenhydramine D. Epinephrine

Correct Answer is D

Explanation

A. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.

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A nurse is collecting data from a client who was involved in a motor-vehicle crash.Which of the following techniques should the nurse use to test for corneal reflexes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client. Exhibits The nurse is assisting with catheter care for the client to prevent a central line-associated bloodstream infection (CLABSI bundle). Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","D"]

Explanation

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Correct Answer is D

Explanation

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