A client arrives with a pink eye that is itchy, swollen, and uncomfortable with a creamy discharge. Which of the following home care instructions will the nurse offer to the client?
Wash towels, sheets, and pillowcases
Use antifungal drops 3 times a day
Schedule a sexually transmitted infection (STI/STD) exam
Avoid going outside during daylight hours
The Correct Answer is A
Choice A Reason: This is the correct choice. Washing towels, sheets, and pillowcases is a home care instruction that the nurse will offer to the client, as it prevents reinfection and transmission of bacteria or viruses. The client has conjunctivitis, which is inflammation of the conjunctiva or thin membrane that covers the white part of the eye and lines the eyelids. It can be caused by bacteria, viruses, allergies, or irritants.
Choice B Reason: This is an incorrect choice. Using antifungal drops 3 times a day is not a home care instruction that the nurse will offer to the client, as it is not effective for conjunctivitis. Antifungal drops are used for fungal infections of the eye, which are rare and usually occur after trauma or surgery. The client may need antibiotic or antiviral drops, depending on the cause of conjunctivitis.
Choice C Reason: This is an incorrect choice. Scheduling a sexually transmitted infection (STI/STD) exam is not a home care instruction that the nurse will offer to the client, as it is not relevant for conjunctivitis. STIs can affect the eyes, but they usually cause different symptoms, such as redness, pain, or discharge from the urethra or vagina. The client may need to be tested for STIs if they have other risk factors or signs of infection.
Choice D Reason: This is an incorrect choice. Avoiding going outside during daylight hours is not a home care instruction that the nurse will offer to the client, as it is not necessary for conjunctivitis. The client may experience sensitivity to light, but they can wear sunglasses or avoid direct sunlight to protect their eyes. The client should also avoid rubbing or touching their eyes, wear glasses instead of contact lenses, and discard any eye makeup or cosmetics that may be contaminated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason: Increasing protein from red meat is not part of client education, as it can worsen the condition and increase the risk of complications. Red meat is high in fat and low in fiber, which can cause constipation and increase the pressure in the colon. Diverticulosis is a condition where small pouches or sacs form in the wall of the colon due to weak spots or increased pressure.
Choice B Reason: Decreasing fluid intake is not part of client education, as it can worsen the condition and increase the risk of complications. Fluid intake should be increased to prevent dehydration and promote bowel movements. Diverticulosis can cause abdominal pain, bloating, cramping, and changes in bowel habits.
Choice C Reason: Incorporating soft foods that are pureed in consistency is not part of client education, as it can worsen the condition and increase the risk of complications. Soft foods are low in fiber and can cause constipation and increase the pressure in the colon. Diverticulosis can lead to diverticulitis, which is inflammation or infection of the pouches or sacs.
Choice D Reason: This is the correct choice. Increasing dietary fiber is part of client education, as it can improve the condition and prevent complications. Fiber helps soften the stool and reduce the pressure in the colon. Diverticulosis can be managed by eating a high-fiber diet, drinking plenty of fluids, exercising regularly, and avoiding straining or holding stools.
Correct Answer is A
Explanation
Choice A reason: This is correct because the lesion on the child's head is most likely a hemangioma, which is a benign tumor of blood vessels that appears as a red or purple mark on the skin. Hemangiomas are common in newborns and usually grow during the first year of life, then shrink and fade over several years. The nurse should reassure the client that hemangiomas are harmless and do not require treatment unless they interfere with vision, breathing, or feeding.
Choice B reason: This is incorrect because the lesion on the child's head will not spread, but rather grow and shrink within a limited area. The nurse should not alarm the client by suggesting that the lesion will spread to other parts of the body or become malignant. The nurse should explain that hemangiomas are not contagious or infectious and do not affect the child's overall health or development.
Choice C reason: This is incorrect because the lesion on the child's head is not caused by scarring from the birth process, but rather by abnormal growth of blood vessels in the skin. The nurse should not confuse or misinform the client about the cause of the lesion. The nurse should explain that hemangiomas are not related to trauma, infection, or genetics, but rather to unknown factors that influence blood vessel formation during fetal development.
Choice D reason: This is incorrect because the lesion on the child's head is not a precancerous lesion and does not need a referral to a dermatologist. The nurse should not scare or mislead the client by suggesting that the lesion is a sign of cancer or requires further evaluation or treatment. The nurse should explain that hemangiomas are benign and usually resolve on their own without any complications or sequelae.
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