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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Diminished urine output is a later sign of hypovolemic shock and is associated with decreased perfusion to the kidneys.
B. Cold clammy skin is also a later sign of shock, indicating poor tissue perfusion.
C. Unconsciousness is a late sign of hypovolemic shock and occurs when there is significant impairment of cerebral perfusion.
D. Tachycardia is an early compensatory mechanism in response to hypovolemia, aiming to maintain cardiac output and perfusion to vital organs.
Correct Answer is D
Explanation
A. Colchicine is not used to treat osteoarthritis; its therapeutic effect is specific to gout.
B. Colchicine can be used both for acute gout attacks and for prophylaxis in some cases, so saying it does not help with long-term management is inaccurate.
C. Colchicine does not reduce uric acid levels or crystal formation; instead, it works by decreasing the inflammatory response.
D. Colchicine reduces inflammation and swelling associated with an acute gout attack, and clients can expect symptom improvement within 2 to 3 days.
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