When explaining a tonometer test results of $28 "mathrm{~mm} "mathrm{Hg}$ to a client, the nurse would use which explanation to be most accurate?

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Question 1 of 5

When explaining a tonometer test results of $28 "mathrm{~mm} "mathrm{Hg}$ to a client, the nurse would use which explanation to be most accurate?

Correct Answer: D

Rationale: The tonometer measures intraocular pressure in the anterior chamber. A reading of 28 mm Hg is above normal (12-20 mm Hg), indicating potential glaucoma that could lead to retinal damage if untreated.

Question 2 of 5

A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail plates. Which question should the nurse ask to elicit useful information about the possible condition?

Correct Answer: A

Rationale: The condition chronic paronychia is common in people with frequent intermittent exposure to water, such as homemakers, bartenders, and laundry workers. The other questions would not provide information specifically related to this assessment finding.

Question 3 of 5

A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus (MRSA)?

Correct Answer: A

Rationale: The client in long-term care with furuncles and folliculitis is at high risk for MRSA.

Question 4 of 5

The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client?

Correct Answer: D

Rationale: Handwashing is the most effective technique for preventing infection transmission.

Question 5 of 5

Based on the documented data of an older adult with a burn wound showing signs of local infection, which action should the nurse take next?

Correct Answer: C

Rationale: Signs of local infection in an older adult require cultures to assess for systemic infection.

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