The nurse is assessing a client who reports ear pain for the past 3 days that has suddenly resolved with a new onset of otorrhea. The nurse should recognize the client has manifestations of which condition?

Labrynthitis

Perforated tympanic membrane

Meniere disease

Otitis externa

Answer and Explanation

The Correct Answer is B

A. Labrynthitis is an inner ear disorder that causes vertigo, tinnitus, and hearing loss, but it does not typically involve otorrhea (ear discharge) or the sudden resolution of ear pain.
B. A perforated tympanic membrane is characterized by a sudden relief of ear pain when the eardrum ruptures, often accompanied by otorrhea (discharge from the ear). This condition is typically the result of an infection that increases pressure in the middle ear until the eardrum bursts.
C. Meniere disease involves episodes of vertigo, tinnitus, and fluctuating hearing loss, but does not usually present with ear pain followed by discharge.
D. Otitis externa, or swimmer’s ear, involves inflammation of the ear canal with symptoms like pain, itching, and discharge, but does not cause the sudden resolution of pain following the onset of otorrhea.

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Correct Answer is D

Explanation

A. Foods high in protein, like fish and chicken, are generally recommended in a low-fat diet but are not specific to managing biliary colic.
B. Low-fat dairy products are usually recommended as part of a low-fat diet and are not typically avoided for cholecystitis.
C. High-carbohydrate foods like pie and donuts are not advised for general health but are not specifically targeted for managing biliary colic.
D. Avoiding foods high in fat, such as fried chicken, is important for managing biliary colic and chronic cholecystitis. Fatty foods can stimulate gallbladder contractions and exacerbate symptoms.

A. Instruct the client to take pain-relieving medications. B. Collect a basic metabolic panel (BMP) specimen from the client. C. Obtain information about the client's recent sexual experiences. D. Inform the client about pelvic ultrasound procedure.

Correct Answer is C

Explanation

A. Pain-relieving medications may be appropriate for symptom management but do not address the need for diagnosis or treatment of gonorrhea exposure.
B. A basic metabolic panel (BMP) is not relevant to the diagnosis or management of gonorrhea. Testing for sexually transmitted infections (STIs) requires specific diagnostic tests.
C. Obtaining information about the client's recent sexual experiences is crucial for assessing risk factors, guiding testing, and determining appropriate treatment for gonorrhea.
D. A pelvic ultrasound is not typically the initial step in managing gonorrhea exposure. It might be used to assess complications but is not relevant for initial assessment or treatment.

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The nurse is assessing a client who reports ear pain for the past 3 days that has suddenly resolved with a new onset of otorrhea. The nurse should recognize the client has manifestations of which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following responses from the client shows understanding of the teaching plan?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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