A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:
Blepharitis.
Dacryocystitis.
Chalazion
Hordeolum (Stye)
The Correct Answer is D
A. Blepharitis: Inflammation of the eyelid margins, typically associated with itching, burning, and crusting, but not localized pustules.
B. Dacryocystitis: Inflammation of the lacrimal sac, causing swelling near the inner canthus, not on the lid margin.
C. Chalazion: A painless lump or cyst inside the eyelid, not typically painful, red, or swollen at the lid margin.
D. Hordeolum (Stye): A stye is a localized infection of a sebaceous gland at the eyelid margin, causing pain, redness, and swelling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Six: The abdomen is typically not divided into six sections.
B. Four: Most healthcare providers divide the abdomen into four quadrants: right upper, left upper, right lower, and left lower.
C. Eight: Eight sections are not commonly used for abdominal assessment.
D. Nine: Nine sections are used in more detailed assessments but are less common than the four-quadrant approach.
Correct Answer is {"A":{"answers":"D"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"}}
Explanation
Assessment Technique |
1 |
2 |
3 |
4 |
Percussion |
✅ |
|||
Inspection |
✅ |
|||
Palpation |
✅ |
|||
Auscultation |
✅ |
Rationale:
Begin with inspection to visually assess the abdomen for abnormalities. Auscultate before palpation and percussion to avoid altering bowel sounds. Determine areas of pain to avoid causing discomfort during palpation and percussion. Palpate to assess for tenderness or masses. Percuss last to evaluate organ size and detect abnormal fluid or gas.
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