First of all, let me suggest the following. Do NOT NOT NOT use the book "Exam Cram" I spent most of my time correcting errors in the book and on the CD. They have made a lot of mistakes in wording on the CD. I found 17 errors in all! I am studying! I don't have time to correct mistakes! This will confuse and frustrate you. Also, how many things in that book were wrong that I DIDN"T realize??? :uhoh21: I wrote the company, with each one of the details of the mistakes along with the question numbers on the CD and the book. They are issuing me a full refund.
Great. That thrills me to no end.
Lovely to know I spent two weeks in a book that needed a student nurse to correct it!
That was my suggestion.
Now, my question. I have been using Saunders for the past four weeks. It's an awesome book and a great CD. No errors as of yet. However, I have come across a question that is disturbing me.
The question is...
A nurse is caring for a client after a hypophysectomy. The nurse notices clear nasal drainage from the clients nostril. The INITIAL nursing action should be:
A) Continue to observe for drainage.
B) Test the drainage for glucose.
c) Lower the head of the bed.
D) Obtain a culture of the drainage.
Now, according to the unreliable ExamCram...the right thing to do would be to test the drainage for glucose. So, recalling that...while using Saunders, I chose answer B. However, Saunders said that was wrong! It says the correct answer is A, continue to monitor drainage.
I clicked for the rationale and I read the following...
"After hypophysectomy, the client should be monitored for rhinorrhea which could indicate the presence of cerebrospinal fluid leak. (Okay, I got that.) If this occurs, drainage should be collected and tested for presence of CSF. (alright, got that too!) Head of the bed should not be lowered (duh!) to increase cranial pressure. Clear nasal drainage does not need to be cultured. (Okay, so this knocks out answers C & D, Then it says...) Continuing to monitor for drainage can lead to serious complications!
Now, am I nuts? Or does that make the answer "B" and not "A"
Who is wrong? Me, the answer to the question or the rationale?
This is really confusing.