A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

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

"Keep your eye open for 30 sec after instilling 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

A) "Apply the ointment in a thin line into the conjunctival sac":
This instruction is correct for applying ophthalmic ointments. Placing the ointment in a thin line along the conjunctival sac ensures proper distribution and contact with the affected area.

B) "Keep your eye open for 30 sec after instilling the ointment":
Keeping the eye open for a brief period after instillation helps the ointment spread across the eye surface. This statement indicates understanding of the proper technique for applying ophthalmic ointments and does not require further instruction.

C) "Use a sterile glove and applicator to apply the antibiotic ointment":
Using a sterile glove and applicator ensures that the application is done in a sterile manner, reducing the risk of introducing further infection. This statement indicates a need for further instruction, as ophthalmic ointments are typically applied using clean hands or disposable, sterile applicators rather than sterile gloves.

D) "Always wipe from the outer to the inner canthus when wiping away secretions":
Wiping from the outer to the inner canthus helps prevent contamination of the unaffected eye. This statement demonstrates understanding of proper eye care techniques and does not require further instruction.

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Correct Answer is B

Explanation

A) "Your headache is probably a result of anxiety about the chest pain."
Headaches associated with nitroglycerin are typically due to the vasodilatory effects of the medication rather than anxiety. This response does not accurately address the known side effect of nitroglycerin.

B) "A headache is a common adverse effect of this medication, but it will probably occur less often over time."
Headaches are a common side effect of nitroglycerin due to its vasodilatory properties. Over time, some clients may experience less frequent headaches as they adjust to the medication. This response provides accurate information about the medication's side effects and reassures the client that it may improve with continued use.

C) "It sounds as if you are allergic to this medication."
Headaches are a common side effect of nitroglycerin and do not typically indicate an allergic reaction. This response may unnecessarily alarm the client and is not supported by the symptoms presented.

D) "A headache indicates tolerance to the medication."
A headache after nitroglycerin administration is not indicative of tolerance. Tolerance refers to a reduced response to the medication over time, requiring higher doses for the same effect. Headaches are an expected side effect due to vasodilation, not tolerance.

A. Limit intake of Vitamin C while taking this medication B. Take this medication with milk. C. Take this medication between meals. D. Limit intake of whole grains while taking this medication.

Correct Answer is C

Explanation

A) Limit intake of Vitamin C while taking this medication:
Vitamin C enhances the absorption of iron from ferrous gluconate. Therefore, consuming foods rich in Vitamin C (such as citrus fruits or juices) alongside iron supplements can improve iron absorption. This instruction is incorrect because Vitamin C intake should be encouraged rather than limited.

B) Take this medication with milk:
Taking ferrous gluconate with milk or other dairy products is not recommended because calcium in dairy can inhibit iron absorption. It's preferable to take iron supplements with water or juice to maximize absorption.

C) Take this medication between meals:
Taking ferrous gluconate between meals enhances its absorption because the presence of food can reduce the absorption of iron. Taking it on an empty stomach (about 1 hour before meals or 2 hours after meals) is optimal for absorption.

D) Limit intake of whole grains while taking this medication:
Whole grains contain phytates that can inhibit iron absorption. Therefore, it is beneficial to avoid consuming whole grains at the same time as iron supplements. However, this instruction does not address the timing of medication intake, which is crucial for optimal absorption.

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A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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Correct Answer is C

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