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When I see a question with "anorexia" give the patient - ANSWER Fluids
An adolescent patient presents to the emergency room with reports that they were hit in
the eye with a baseball. No visual loss is noted when a Snellen visual acuity is performed,
but while waiting to be assessed by a provider, the patient reports "aching" pain in their eye
and sudden onset of blurry vision. What statement made is greatest concern in the
emergency nurse? - ANSWER Comments: "Seeing red" is an indication that blood is
present in the anterior chamber. Activities such as coughing, sneezing, or leaning forward
can cause the bleeding to continue or increase. This causes the anterior chamber to fill with
blood and can lead to increased intraocular pressure due to blood clotting. Increased
swelling and lacrimation are anticipated after an eye injury. Decreased ability to look upward
may be a sign on entrapment, however without vision loss, this would take less priority than
the chamber of the eye filling with blood. _____Reference: Sheehy's Emergency Nursing:
Principles and Practice, 7th Edition (2019), p. 369
___________are associated with extreme pain, a foreign body sensation, photophobia, and
tearing - ANSWER Corneal lacerations
mild persistent asthma - ANSWER Symptoms occur >2x/wk, but not daily
moderate persistent asthma - ANSWER FEV1/PEF 60-80%, daily symptoms. SABA, daily
moderate dose ICS, or low dose ICS and LABA
vesicular breath sounds - ANSWER soft, fine, breezy, low-pitched sounds heard over
peripheral lung tissue
1
When I see a question with "anorexia" give the patient - ANSWER Fluids
An adolescent patient presents to the emergency room with reports that they were hit in
the eye with a baseball. No visual loss is noted when a Snellen visual acuity is performed,
but while waiting to be assessed by a provider, the patient reports "aching" pain in their eye
and sudden onset of blurry vision. What statement made is greatest concern in the
emergency nurse? - ANSWER Comments: "Seeing red" is an indication that blood is
present in the anterior chamber. Activities such as coughing, sneezing, or leaning forward
can cause the bleeding to continue or increase. This causes the anterior chamber to fill with
blood and can lead to increased intraocular pressure due to blood clotting. Increased
swelling and lacrimation are anticipated after an eye injury. Decreased ability to look upward
may be a sign on entrapment, however without vision loss, this would take less priority than
the chamber of the eye filling with blood. _____Reference: Sheehy's Emergency Nursing:
Principles and Practice, 7th Edition (2019), p. 369
___________are associated with extreme pain, a foreign body sensation, photophobia, and
tearing - ANSWER Corneal lacerations
mild persistent asthma - ANSWER Symptoms occur >2x/wk, but not daily
moderate persistent asthma - ANSWER FEV1/PEF 60-80%, daily symptoms. SABA, daily
moderate dose ICS, or low dose ICS and LABA
vesicular breath sounds - ANSWER soft, fine, breezy, low-pitched sounds heard over
peripheral lung tissue
1
