Which intervention would the nurse implement to provide relief of the patient's discomfort when presenting to the clinic with a red, swollen, circumscribed, acutely, tender area near the eye and in the lid margin?

Application of a warm, moist compress 4 times a day

Administration of non-steroidal anti-inflammatory eyedrops

Wash eye before sleep time

Administration of artificial tear

Answer and Explanation

The Correct Answer is A

A.   A warm, moist compress helps alleviate discomfort associated with a stye or hordeolum.
B.   NSAID eye drops may not be appropriate for treating local swelling or infection.
C.   Washing the eye can help with hygiene but is not the primary intervention for a stye.
D.   Artificial tears can provide relief for dry eyes but do not address the infection or swelling caused by a stye.

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Correct Answer is A

Explanation

A. A Glasgow Coma Scale score of 6 indicates a severe impairment of consciousness, and the client would require total nursing care.
B. A score of 6 does not indicate the client is alert and oriented. The client has a decreased level of consciousness.
C. A score of 6 does not suggest a deep coma. The client is in a moderate state of impaired consciousness.
D. A score of 6 indicates significant neurologic compromise, not stable neurologic status.

A. Hypotension B. Decreased level of consciousness C. Tachypnea D. Bilateral weakness of extremities

Correct Answer is B

Explanation

A. Increased intracranial pressure (ICP) typically causes hypertension (increased blood pressure) rather than hypotension.
B. A decreased level of consciousness is one of the hallmark signs of increased ICP, as pressure on the brainstem affects consciousness.
C. Tachypnea may occur with ICP, but it is less specific compared to decreased consciousness.
D. This can occur with brain injury but is not as directly indicative of ICP as decreased consciousness.

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Which intervention would the nurse implement to provide relief of the patient's discomfort when presenting to the clinic with a red, swollen, circumscribed, acutely, tender area near the eye and in the lid margin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?

Correct Answer is A

Explanation

A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?

Correct Answer is B

Explanation

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

Which intervention would the nurse implement to provide relief of the patient's discomfort when presenting to the clinic with a red, swollen, circumscribed, acutely, tender area near the eye and in the lid margin?

Cellulitis of the right lower extremity may present with which assessment finding?

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed- head injury. Which of the following actions should the nurse take?

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?

A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazards for the client?

A nurse is teaching the partner of a client who had a stroke about dysphagia. Which of the following statements by the client's partner should indicate to the nurse that the teaching was effective?

Which method of measurement is the gold standard for obtaining intracranial pressures?