A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Ask the client to look down when instilling the solution.

Instil the drops into the superior canthus.

Approach the client’s eye from below it.

Hold the ophthalmic solution 2 cm (3/4 inch) above the lower conjunctival sac.

Answer and Explanation

The Correct Answer is D

When administering ophthalmic drops, the nurse should hold the dropper 2 cm (3/4 inch) above the lower conjunctival sac and instill the prescribed number of drops into the sac. The client should be instructed to look up and away from the dropper while the drops are being instilled.

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Correct Answer is A

Explanation

Inﬂuenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the inﬂuenza vaccine.

Yeast, gelatin, and shellfish are not typically present in the seasonal inactive inﬂuenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.

A. Headache B. Constipation C. Bradycardia D. Hypertension E. None F. None

Correct Answer is B

Explanation

The correct answer is choice b. Constipation.

Choice A rationale:

While headaches can occur with some medications, they are not a common adverse effect of diphenhydramine. Diphenhydramine's typical side effects are more related to its anticholinergic properties.

Choice B rationale:

Diphenhydramine is an antihistamine with anticholinergic effects, which can lead to dry mouth, urinary retention, and constipation as common adverse effects.

Choice C rationale:

Diphenhydramine typically does not cause bradycardia. In some cases, it may cause tachycardia (increased heart rate) rather than a slower heart rate.

Choice D rationale:

Hypertension is not typically associated with diphenhydramine. In fact, it can sometimes cause hypotension (low blood pressure) rather than high blood pressure.

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A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following:

Correct Answer is A

Explanation

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse eﬀect of this medication?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicate to the nurse that the client has developed a systemic anticholinergic eﬀect?

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