Answer to Question 1
ANS: B
The diagnosis of entropion can lead to lashes of the lids irritating the conjunctiva and cornea. Irritation can lead to infection. Exophthalmos is a bulging of the eyes and usually indicates hyperthyroidism. An abnormal drooping of the lid over the pupil is called ptosis. In the older adult, ptosis results from a loss of elasticity that accompanies aging. Hyperactive sounds are loud, growling sounds called borborygmi, which indicate increased GI motility.
Answer to Question 2
ANS: C
Pale nasal mucosa with clear discharge indicates allergy. Clubbing is due to insufficient oxygenation at the periphery resulting from conditions such as chronic emphysema and congenital heart disease; it is noted in the nails. A sinus infection results in yellowish or greenish discharge. Habitual use of intranasal cocaine and opioids causes puffiness and increased vascularity of the nasal mucosa.
Client on IV patient-controlled analgesia (PCA).
The nurse applies a pulse oximeter sensor on the client’s finger.
Review of Health and Illness over the Adult Years
Pneumonia patient’s chest x-ray. Note the irregular areas of density.
Kaposi's sarcoma on the skin of an AIDS patient.