A client receives a prescription for ophthalmic ketorolac, Prior to administering the medication, the nurse should review the medical record for which condition?
Corneal abrasion
Radiation exposure
Foreign body
Chemical burn
The Correct Answer is A
A. A corneal abrasion is a condition that may be exacerbated by the use of ketorolac due to its potential to delay healing and increase bleeding risks. Therefore, it is essential to ensure that a patient does not have a corneal abrasion before administering ophthalmic ketorolac.
B. Radiation exposure is not directly relevant to the administration of ophthalmic ketorolac.
C. The presence of a foreign body is not directly related to ketorolac use
D. The presence of a chemical burn is not related with ketorolac use in a client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The client's symptoms, including persistent upper abdominal pain radiating to the back, vomiting, elevated temperature, and elevated serum amylase and lipase levels, are indicative of acute pancreatitis. Post-cholecystectomy pancreatitis can occur as a complication of cholecystectomy, particularly if there is injury to the pancreas or if a gallstone becomes lodged in the common bile duct during surgery.
A. While biliary duct obstruction is a potential complication of cholecystectomy, the client's symptoms are more consistent with acute pancreatitis.
B. The client's symptoms and laboratory findings are more indicative of acute pancreatitis rather than hepatorenal failure.
C. The client's symptoms are not consistent with a typical surgical site infection.
Correct Answer is A
Explanation
A. Inserting a nasogastric tube (NGT) and attaching it to low intermittent suction would be appropriate in this situation. Dark brown emesis could indicate gastrointestinal bleeding, which may require gastric decompression to prevent further vomiting and assess the volume and characteristics of the gastric contents.
B. Placing an indwelling urinary catheter and attaching a bedside drainage unit is not the priority intervention in this scenario.
C. Sending the client to x-ray for a flat plate of the abdomen may provide diagnostic information, but it is not the most immediate intervention needed in this situation.
D. Giving a prescribed analgesic for a temperature above 101°F (38.3°C) is not the priority intervention in this scenario.
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