A nurse is instructing the caregiver of a child who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment.

Which of the following instructions should the nurse provide?

Apply the ointment in a thin line into the conjunctival sac.

Ask the child to look down before applying the ointment.

Use a sterile glove and applicator to apply the antibiotic ointment.

Always wipe from the outer to the inner canthus when wiping away secretions.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Applying the ointment in a thin line into the conjunctival sac ensures that the medication is properly distributed across the surface of the eye, allowing for effective treatment of the bacterial conjunctivitis.

Choice B rationale

Asking the child to look down before applying the ointment is not necessary and may make the application process more difficult. The focus should be on ensuring the ointment is applied correctly.

Choice C rationale

Using a sterile glove and applicator is not required for applying ophthalmic ointment. Clean hands and proper technique are sufficient to ensure safe and effective application.

Choice D rationale

Wiping from the outer to the inner canthus is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent the spread of infection.

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Correct Answer is C

Explanation

Choice A rationale

Informing the client that she will need to bring the tick for testing is not necessary. While having the tick can help identify the species and potential risk, it is not required for testing for Lyme disease. The diagnosis can be made based on clinical symptoms and blood tests.

Choice B rationale

Informing the client that the tick is needed to perform a test is incorrect. The presence of the tick is not required for testing for Lyme disease. Blood tests can detect antibodies to the bacteria that cause Lyme disease, even if the tick is not available.

Choice C rationale

Referring the client for a blood test immediately is the appropriate action. Early testing can help diagnose Lyme disease and initiate treatment promptly. Blood tests can detect antibodies to Borrelia burgdorferi, the bacteria that cause Lyme disease, and help confirm the diagnosis.

Choice D rationale

Asking the client about the size and color of the tick is not the most appropriate action. While this information can provide some context, it does not directly contribute to the diagnosis of Lyme disease. The priority is to refer the client for a blood test to confirm the presence of the infection.

A. The client had an allergic reaction to the ordered meperidine. B. The primary health care provider was notified because the client developed a rash after receiving an opioid analgesic. C. The client’s skin was warm and flushed, and a rash was noted on the chest and back. D. Thirty minutes after receiving meperidine, the temperature was 101°F (38.3°C).

Correct Answer is D

Explanation

Choice A rationale

Stating that the client had an allergic reaction to the ordered meperidine is not objective and does not provide specific details about the client’s condition.

Choice B rationale

Notifying the primary health care provider because the client developed a rash after receiving an opioid analgesic is important, but it does not include all the necessary details about the client’s condition.

Choice C rationale

Documenting that the client’s skin was warm and flushed, and a rash was noted on the chest and back is important, but it does not include the timing of the reaction or the client’s temperature.

Choice D rationale

Documenting that thirty minutes after receiving meperidine, the temperature was 101°F (38.3°C), the client’s skin was warm and flushed, and a rash was noted on the chest and back provides a complete and objective account of the client’s condition and the timing of the reaction.

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A nurse is instructing the caregiver of a child who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment.

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Naxlex Comprehensive Predictor Exams

A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. Which nursing action is appropriate?

Correct Answer is C

Explanation

Thirty minutes after receiving meperidine, the client develops a temperature of 101°F and the skin is warm and flushed with a notable rash on the chest and back. The nurse contacts the primary health care provider and begins to document on an incident report. Which information should be included?

Correct Answer is D

Explanation

A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?

During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client’s chest. The lesion is raised and flesh-colored with pearly and waxy borders that are well defined. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?

Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.

A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?

A doctor ordered amoxicillin 2 gm/day PO divided into two doses. The nurse is preparing to administer the first dose. The amount available is tablets. Use a leading zero if it applies. Do not use a trailing zero.

A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take?

A nurse is instructing the caregiver of a child who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment.

A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?