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Author Question: The nurse observes thin, watery fluid draining from the left ear of a client who has sustained a ... (Read 106 times)

sammy

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The nurse observes thin, watery fluid draining from the left ear of a client who has sustained a head injury. How is this drainage described?
 
  a. Serous
  b. Purulent
  c. Cerebrospinal fluid
  d. Serosanguineous

Question 2

Which of the following assessment questions is most likely to result in pertinent information regarding the client's expectations of the outcomes of a regular exercise program?
 
  a. What is your greatest barrier to regular exercise?
  b. What is your idea of a workable exercise program?
  c. What do you want to happen from exercising regularly?
  d. How much time can you comfortably dedicate to exercise daily?



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frogdreck123456

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Answer to Question 1

A
Serous drainage is clear, watery plasma.
Purulent drainage is thick, yellow, green, tan, or brown.
Without further testing, the nurse would be unable to know if this drainage is cerebrospinal fluid. The nurse should describe the drainage by its appearance (i.e., serous).
Serosanguineous drainage is pale, red, and watery: a mixture of clear and red fluid.

Answer to Question 2

B
In assessing the client's expectations concerning activity and exercise, first determine the client's perception of what is normal or acceptable in regard to physical fitness.
Asking What is your greatest barrier to regular exercise? may not provide as much pertinent information.
Asking What do you want to happen from exercising regularly? may not provide as much per-tinent information.
Asking How much time can you comfortably dedicate to exercise daily? may not provide as much pertinent information.





 

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