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.

Answer and Explanation

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.

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Correct Answer is ["A","C","E"]

Explanation

A. Turning off fans and heaters can help prevent the circulation of potentially contaminated air.
B. Evacuation may be necessary in extreme cases but should be done following established protocols and considering the safety of residents.
C. Closing doors and windows helps minimize the entry of external air, reducing exposure to potential contaminants.
D. Keeping fireplaces burning may increase the risk of indoor air pollution and is not a recommended action during a chemical disaster.
E. Placing wet towels under doors can help create a barrier to limit the entry of external air and contaminants.

A. Dry crust on the incision line B. Adventitious breath sounds C. Increased urine output D. Decreased level of consciousness E. Oral temperature of 38.3° C (101° F)

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

Explanation

A. Dry crust on the incision line may indicate normal healing, not necessarily infection.
B. Adventitious breath sounds can be indicative of pneumonia, a potential infection.
C. Increased urine output is not a sign of infection but may suggest other issues.
D. Decreased level of consciousness suggests a systemic issue, which could include infection affecting the central nervous system.
E. Oral temperature of 38.3° C (101° F) indicates fever which is a common sign of infection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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

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