A nurse is caring for a client that has been diagnosed with external otitis. Which of the following clinical symptoms should the nurse be monitoring?
Edema of the ear canal.
Purulent drainage from the ear canal.
Burning in the ear canal.
Pain when moving the auricle.
External ear tender to touch.
Correct Answer : A,B,C,D,E
A. Edema of the ear canal is a common symptom of external otitis, indicating inflammation and infection in the area.
B. Purulent drainage from the ear canal often signifies bacterial infection and is a key symptom to monitor.
C. Burning in the ear canal can occur due to inflammation and is a common complaint in external otitis.
D. Pain when moving the auricle is a classic symptom of external otitis, indicating irritation or inflammation of the external ear.
E. Tenderness of the external ear is a common finding in external otitis and should be monitored as it indicates inflammation and potential infection.
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Correct Answer is A
Explanation
A. Hypertension with bradycardia is characteristic of autonomic dysreflexia due to the exaggerated sympathetic response causing increased blood pressure while the body compensates with bradycardia.
B. Hypotension with tachycardia is not indicative of autonomic dysreflexia; instead, it suggests different underlying issues.
C. While hypertension can occur in autonomic dysreflexia, it is typically accompanied by bradycardia, not tachycardia.
D. Hypotension with bradycardia does not correlate with autonomic dysreflexia and suggests other health complications.
Correct Answer is D
Explanation
A. Exophthalmos is typically associated with hyperthyroidism (specifically Graves' disease) rather than hypothyroidism.
B. Diaphoresis (excessive sweating) is also more common in hyperthyroid states, not hypothyroidism.
C. Palpitations are indicative of an increased metabolic rate, which is common in hyperthyroidism; therefore, they would not be expected in a client with hypothyroidism.
D. Lethargy is a classic symptom of hypothyroidism due to decreased metabolism, leading to fatigue and reduced energy levels, making it the expected finding.