Which intervention would the nurse implement to provide relief of the patient's discomfort when presenting to the clinic with a red, swollen, circumscribed, acutely, tender area near the eye and in the lid margin?
Application of a warm, moist compress 4 times a day
Administration of non-steroidal anti-inflammatory eyedrops
Wash eye before sleep time
Administration of artificial tear
The Correct Answer is A
A. A warm, moist compress helps alleviate discomfort associated with a stye or hordeolum.
B. NSAID eye drops may not be appropriate for treating local swelling or infection.
C. Washing the eye can help with hygiene but is not the primary intervention for a stye.
D. Artificial tears can provide relief for dry eyes but do not address the infection or swelling caused by a stye.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Brudzinski's sign is a clinical sign of meningeal irritation where passive neck flexion causes involuntary flexion of the hips and knees. It is a positive sign of meningitis.
B. Bradykinesia refers to slow movement, commonly associated with Parkinson’s disease.
C. Nuchal rigidity is stiffness in the neck, a sign of meningitis, but it does not describe the involuntary leg movement seen in this case.
D. Kernig's sign involves resistance to extending the leg while the hip is flexed, not the involuntary flexion of the legs.
Correct Answer is D
Explanation
A. Orientation to person, place, and time is not expected in meningitis as the infection typically causes altered mental status.
B. Bradycardia is not a typical finding in meningitis. Increased intracranial pressure may lead to tachycardia, not bradycardia.
C. Blurred vision can occur with increased ICP or certain infections, but it is not a primary symptom of meningitis.
D. Severe headache is a hallmark symptom of meningitis, due to inflammation of the meninges, causing pain and increased intracranial pressure.
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