A nurse is caring for a client who is postoperative following a left corneal transplant.

The nurse observes purulent drainage from the affected eye.

Which of the following actions is the nurse’s priority?

Apply a non-pressure patch to the affected eye.

Clean the eye from inner to outer canthus.

Notify the surgeon.

Instill an antibiotic solution in both eyes.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Applying a non-pressure patch to the affected eye can help protect the eye from further irritation or injury. However, it does not address the underlying issue of purulent drainage, which could indicate an infection that requires immediate medical attention.

Choice B rationale

Cleaning the eye from inner to outer canthus is a standard practice to prevent the spread of infection. However, in this case, the presence of purulent drainage suggests a possible infection that needs to be evaluated by a surgeon.

Choice C rationale

Notifying the surgeon is the priority action because purulent drainage from the eye can indicate a serious infection or complication following surgery. Immediate medical evaluation and intervention are necessary to prevent further complications and ensure proper treatment.

Choice D rationale

Instilling an antibiotic solution in both eyes may be part of the treatment plan for an infection. However, the nurse should first notify the surgeon to get appropriate orders and ensure that the correct antibiotic and treatment plan are followed.

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Correct Answer is B

Explanation

Choice A rationale

Timolol is a beta-blocker used to reduce intraocular pressure in patients with open-angle glaucoma. It is not intended for short-term use or gradual tapering off. The medication must be used consistently to maintain its therapeutic effect.

Choice B rationale

Timolol should be applied on a regular schedule for the rest of the client’s life to effectively manage intraocular pressure and prevent further damage to the optic nerve.

Choice C rationale

Timolol does not cure glaucoma or normalize intraocular pressure permanently. Continuous use is necessary to control the condition.

Choice D rationale

Timolol is not used as a pain reliever. It is specifically prescribed to manage intraocular pressure in glaucoma patients.

A. Nagging cough. B. Non-healing sore. C. Change in moles. D. Change in bowel pattern. E. Bloating.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

A nagging cough is one of the seven warning signs of cancer. Persistent coughing or hoarseness can indicate lung cancer or other cancers affecting the respiratory system. It is important to investigate any chronic cough that does not resolve with standard treatment.

Choice B rationale

A non-healing sore is another warning sign of cancer. Sores that do not heal, especially in the mouth or on the skin, can be indicative of skin cancer or oral cancer. These sores may bleed, ooze, or become crusty and should be evaluated by a healthcare provider.

Choice C rationale

A change in moles is a significant warning sign of skin cancer, particularly melanoma. Changes in size, shape, color, or texture of a mole, or the appearance of new moles, should be assessed by a healthcare provider. Early detection of skin changes can lead to prompt treatment and better outcomes.

Choice D rationale

A change in bowel pattern is a warning sign of colorectal cancer. Symptoms such as persistent diarrhea, constipation, or changes in stool consistency or color can indicate an underlying malignancy in the digestive tract. It is important to seek medical evaluation for any unexplained changes in bowel habits.

Choice E rationale

Bloating is not typically included in the seven warning signs of cancer. While bloating can be a symptom of various conditions, including ovarian cancer, it is not one of the primary warning signs used to identify cancer. The focus should be on the more specific signs listed above. .

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A nurse is caring for a client who is postoperative following a left corneal transplant. The nurse observes purulent drainage from the affected eye. Which of the following actions is the nurse’s priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

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A nurse is caring for a client who is postoperative following a left corneal transplant.

The nurse observes purulent drainage from the affected eye.

Which of the following actions is the nurse’s priority?