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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Antihistamines typically cause a mild decrease in blood pressure.
B. Antihistamines often have anticholinergic effects, leading to dry mouth.
C. This is not a common adverse effect of antihistamines.
D. Antihistamines are more likely to cause constipation than diarrhea.
Correct Answer is C
Explanation
A. Vomiting is not a specific manifestation of sepsis.
B. Hypertension is not a typical finding in sepsis; hypotension is more common.
C. Altered mental status, such as confusion or lethargy, can be a sign of sepsis- induced organ dysfunction.
D. While an elevated white blood cell (WBC) count is often seen in infection, it alone does not indicate sepsis. The key in sepsis is the body's dysregulated response to infection leading to organ dysfunction.
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