A nurse is assessing the eyes on a patient and during the inspection the conjunctival sac is red, itchy, and has white thick drainage.
Which finding are these consistent with?

Allergic conjunctivitis.

Viral conjunctivitis.

Bacterial conjunctivitis.

Cataracts.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Allergic conjunctivitis is usually characterized by redness, itching, and watery discharge. It is often associated with allergic reactions to pollen, dust, or pet dander. The discharge in allergic conjunctivitis is typically clear and watery, not white and thick.

Choice B rationale

Viral conjunctivitis is often caused by adenovirus and is characterized by redness, watery discharge, and a gritty sensation in the eye. It is highly contagious and can spread through contact with infected individuals. The discharge in viral conjunctivitis is usually watery, not thick and white.

Choice C rationale

Bacterial conjunctivitis is characterized by redness, itching, and white, thick discharge. It is often caused by bacteria such as Staphylococcus aureus, Streptococcus pneumoniae, or Haemophilus influenzae. The thick discharge is a hallmark of bacterial infection, distinguishing it from allergic or viral conjunctivitis.

Choice D rationale

Cataracts involve the clouding of the eye's natural lens, leading to blurred vision and difficulty seeing at night. They do not cause redness, itching, or discharge from the eye. Cataracts affect the lens inside the eye, not the conjunctival sac.

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Correct Answer is D

Explanation

Choice A rationale

A decreased angle between the cuticles and the nails is not indicative of clubbing. In fact, it is often associated with healthy nails. Clubbing is recognized by changes that increase the angle between the nail bed and the cuticle.

Choice B rationale

An upward curving of the nails, known as koilonychia or spoon nails, is not characteristic of clubbing but is often associated with iron-deficiency anemia. Hence, this answer is incorrect for clubbing.

Choice C rationale

Blue nails indicate cyanosis, which is related to a lack of oxygen in the blood. This is distinct from clubbing, which is more about the shape and angle of the nails rather than their color.

Choice D rationale

Clubbing is recognized by an increase in the angle between the nail bed and the cuticle, often greater than 160 degrees. This is a hallmark feature and the correct indicator of clubbing.

A. Patches of eschar cover parts of the wound. B. Partial thickness skin erosion is observed with a loss of dermis and epidermis. C. Ulcer extends into the subcutaneous tissue. D. Intact skin appears red but not broken. E. Open blister areas have a red-pink wound bed. F. Localized redness in light skin will blanch with fingertip pressure.

Correct Answer is ["B","E"]

Explanation

Choice A rationale

Patches of eschar covering parts of the wound are characteristic of more advanced pressure ulcers, such as Stage III or IV, where necrotic tissue is present. Eschar is a dark, thick, leathery scab or crust that indicates deeper tissue damage and is not observed in Stage II pressure ulcers.

Choice B rationale

A Stage II pressure ulcer is characterized by partial thickness skin erosion with loss of the epidermis and dermis. It appears as a shallow open ulcer with a red-pink wound bed, indicating that the damage has not extended beyond these layers of skin.

Choice C rationale

When a pressure ulcer extends into the subcutaneous tissue, it is classified as a Stage III or IV ulcer, depending on the depth and extent of tissue involvement. Stage II ulcers are limited to the epidermis and dermis and do not reach the subcutaneous layer.

Choice D rationale

Intact skin that appears red but is not broken is indicative of a Stage I pressure ulcer, which represents the earliest stage of pressure injury. Stage I ulcers involve non-blanchable erythema (redness) but no open wound or skin erosion.

Choice E rationale

Open blister areas with a red-pink wound bed are characteristic of Stage II pressure ulcers. These ulcers exhibit partial thickness skin loss and can present as open or fluid-filled blisters with a visible wound bed.

Choice F rationale

Localized redness in light skin that blanches with fingertip pressure is typical of a Stage I pressure ulcer. Blanching erythema indicates that the skin is still viable and blood flow is present, which differentiates Stage I from more advanced stages of pressure injury.

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A nurse is assessing the eyes on a patient and during the inspection the conjunctival sac is red, itchy, and has white thick drainage.Which finding are these consistent with?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an assessment on the fingers and toes of a patient.What finding is consistent with clubbing?

Correct Answer is D

Explanation

A patient has been admitted to the hospital after the staff at a nursing home noticed a pressure ulcer on his sacral area.The nurse examines the sacral ulcer and determines it is a Stage II ulcer.Which of these findings is characteristic of a Stage II pressure ulcer?

Correct Answer is ["B","E"]

Explanation

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A nurse is assessing the eyes on a patient and during the inspection the conjunctival sac is red, itchy, and has white thick drainage.
Which finding are these consistent with?