A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma.
Which of the following actions should the nurse plan to take?

Drop prescribed amount of medication into the conjunctival sac.

Place the eyedropper gently against the sclera.

Don sterile gloves to instill the medication.

Gently rub the eye after instilling the medication.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The medication should be dropped into the conjunctival sac, which is the space between the lower eyelid and the eyeball. This is the correct method for administering ophthalmic drops.

Choice B rationale:

The eyedropper should not touch any part of the eye, including the sclera, to avoid contamination and potential infection.

Choice C rationale:

It is not necessary to don sterile gloves when administering ophthalmic drops. Clean gloves or hand hygiene is sufficient.

Choice D rationale:

Rubbing the eye after instilling medication can cause irritation and may disperse the medication, reducing its effectiveness.

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Correct Answer is B

Explanation

Choice A rationale:

Low blood pressure (BP) is a symptom of hypovolemic shock due to decreased blood volume, but the pulse rate typically increases as the body tries to compensate for the low BP, not decrease.

Choice B rationale:

Hypovolemic shock is characterized by low BP due to loss of blood or fluid volume and a high pulse rate as the body tries to compensate for the decreased blood flow.

Choice C rationale:

High BP is not typically associated with hypovolemic shock. Instead, BP is usually low due to decreased blood volume.

Choice D rationale:

High BP is not typically a symptom of hypovolemic shock. While the pulse rate may be high as the body tries to compensate for low blood volume, the BP is usually low.

A. Encourage range-of-motion exercises of the foot. B. Provide the client with a light snack. C. Apply ice to the ankle. D. Apply a compression bandage. E. Elevate the foot.

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale:

Encouraging range-of-motion exercises of the foot is not advisable because it can cause further injury to the ankle.

Choice B rationale:

Providing the client with a light snack is not directly related to the care of an ankle injury.

Choice C rationale:

Applying ice to the ankle can help reduce swelling and pain.

Choice D rationale:

Applying a compression bandage can help reduce swelling.

Choice E rationale:

Elevating the foot can help reduce swelling by promoting venous return.

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A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma.Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock.Which of the following findings should the nurse expect?

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Explanation

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Explanation

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A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma.
Which of the following actions should the nurse plan to take?