A nurse is performing sterile wound irrigation on a client who ...

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A nurse is performing sterile wound irrigation on a client who has a gunshot wound on
  his right upper arm. Which precaution should the nurse take after opening the irrigation
  solution?
 
  A) Pour solution with the bottle label facing away from palm
  B) Place bottle cover on the table, with the inside facing downward
  C) Wear sterile gloves and then pour the irrigation solution
  D) Discard a small amount of the solution before use

Question 2

A client visits a community clinic with complaints of severe allergies causing a crackling sensation in the ear. The diagnosis is serous otitis media. Which of the following is a characteristic of this condition?
 
  A) Fluid collects in the middle ear, causing an obstruction of the auditory tube.
  B) An upper respiratory infection spreads through the auditory tube.
  C) This condition develops if acute purulent otitis media is not treated promptly.
  D) This condition is usually associated with a punctured eardrum.

[ally]

Answer to Question 1

D

Answer to Question 2

A
Feedback:
Serous otitis media results from fluid that collects in the middle ear, causing an obstruction of the auditory tube. This condition may stem from infection, allergy, tumors, or sudden changes in altitude. Symptoms include crackling sensations and fullness in the ear, with some hearing loss. Acute purulent otitis media is generally caused by an upper respiratory infection spreading through the auditory tube. Pus forms and collects in the middle ear to create pressure on the eardrum. Chronic otitis media can develop if acute purulent otitis media is not treated promptly. Chronic purulent otitis media is usually associated with a punctured eardrum or may be a complication of acute otitis media, mastoiditis, or a severe upper respiratory infection.