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 D

Explanation

Choice A rationale

Inactivated poliovirus (IPV) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice B rationale

Hepatitis B (HepB) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice C rationale

Haemophilus influenzae type b (Hib) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice D rationale

Influenza, live attenuated (LAIV) vaccine contains egg protein and can cause severe allergic reactions in individuals with egg allergies. This prescription should be clarified to ensure the safety of the child.

A. Pitting edema of the hands and fingers. B. Subcutaneous nodules on the ulnar side of the arm. C. A dry, red rash across the bridge of the nose and on the cheeks. D. A grey-colored, non-purpuric papular rash.

Correct Answer is C

Explanation

Choice A rationale

Pitting edema of the hands and fingers is not a typical finding in clients with systemic lupus erythematosus (SLE). Edema can occur in SLE, but it is more commonly associated with renal involvement and not specifically pitting edema of the hands and fingers.

Choice B rationale

Subcutaneous nodules on the ulnar side of the arm are more commonly associated with rheumatoid arthritis rather than SLE. SLE does not typically present with subcutaneous nodules.

Choice C rationale

A dry, red rash across the bridge of the nose and on the cheeks, known as a “butterfly rash,” is a classic sign of SLE. This rash is caused by inflammation of the small blood vessels in the skin and is often exacerbated by sun exposure.

Choice D rationale

A grey-colored, non-purpuric papular rash is not characteristic of SLE. The typical rash in SLE is the butterfly rash, which is dry, red, and raised.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a child who has an allergy to eggs. The nurse should clarify a prescription for which of the following immunizations?

Correct Answer is D

Explanation

A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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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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