Nokea
What is the most common cause of orbital cellulitis?
- A. Sinus infection
- B. Trauma
- C. Foreign body
- D. All of the above
Correct Answer: A
Rationale: Sinus infections are the most frequent source of orbital cellulitis due to proximity and anatomical connections.
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Place the following interventions in the correct order.
- A. Apply a loose, sterile, bulky dressing
- B. Give pain medication
- C. Remove the victim from the cold environment
- D. Immerse the feet in warm water 100°F to 105°F (40.6°C to 46.1°C)
Correct Answer: C
Rationale: The first priority is removing the victim from the cold environment to prevent further damage.
What is the treatment for viral conjunctivitis?
- A. Antibiotic drops
- B. Steroid drops
- C. Supportive care
- D. Surgical intervention
Correct Answer: C
Rationale: Viral conjunctivitis typically resolves with supportive care, such as artificial tears and cold compresses.
The nurse has been assigned to these clients in the emergency room. Which client would the nurse go check first?
- A. Viral pneumonia with atelectasis.
- B. Spontaneous pneumothorax with a respiratory rate of 38.
- C. Tension pneumothorax with slight tracheal deviation to the right.
- D. Acute asthma with episodes of bronchospasm.
Correct Answer: C
Rationale: Tension pneumothorax is a life-threatening condition requiring immediate attention.
At the end of the surgical procedure, the perioperative nurse evaluates the patient's response to the nursing care delivered during the perioperative period. What reflects a positive outcome related to the patient's physical status?
- A. The patient's right to privacy is maintained.
- B. The patient's care is consistent with the perioperative plan of care.
- C. The patient receives consistent and comparable care regardless of the setting.
- D. The patient's respiratory function is consistent with or improved from baseline levels established preoperatively.
Correct Answer: D
Rationale: Improved or consistent respiratory function indicates effective perioperative care.
Which patient is ready for discharge from Phase I PACU care to the clinical unit?
- A. Arouses easily, pulse is 112 bpm, respiratory rate is 24, dressing is saturated, SaO2 is 88%
- B. Difficult to arouse, pulse is 52, respiratory rate is 22, dressing is dry and intact, SaO2 is 91%
- C. Awake, vital signs stable, dressing is dry and intact, no respiratory depression, SaO2 is 92%
- D. Arouses, blood pressure (BP) higher than preoperative and respiratory rate is 10, no excess bleeding, SaO2 is 90%
Correct Answer: C
Rationale: Stable vital signs, intact dressing, and adequate oxygenation indicate readiness for transfer.