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 ["1"]

Explanation

To determine how many hydrochlorothiazide tablets to administer per dose, we can perform a simple calculation:

Identify the prescribed dose: The nurse needs to administer 25 mg of hydrochlorothiazide per dose.

Identify the tablet strength: Each available tablet contains 50 mg of hydrochlorothiazide.

Calculate the number of tablets: We need to find out how many 50 mg tablets are needed to deliver the prescribed 25 mg dose.

Here, dividing the prescribed dose by the tablet strength will tell us how many tablets are required:

Number of tablets = Prescribed dose / Tablet strength

Number of tablets = 25 mg / 50 mg/tablet

Since the division results in 0.5, we need to round to the nearest whole number for medication administration.

Therefore, the nurse should administer 1 tablet of hydrochlorothiazide per dose.

A. Regular B. Glargine C. NPH D. Detemir

Correct Answer is A

Explanation

A) Regular insulin:
Regular insulin is a short-acting insulin that acts quickly to lower blood glucose levels. It is suitable for managing diabetic ketoacidosis (DKA), which presents with symptoms such as confusion, flushed skin, and a fruity or acetone odor on the breath. Regular insulin helps to reduce ketone production and normalize blood glucose levels rapidly.

B) Glargine:
Glargine is a long-acting insulin that provides basal insulin coverage over an extended period. It is not typically used for the acute management of diabetic ketoacidosis due to its slow onset and prolonged duration of action.

C) NPH (Neutral Protamine Hagedorn):
NPH insulin is an intermediate-acting insulin that has a slower onset and duration compared to regular insulin. It is not the first choice for treating diabetic ketoacidosis due to its slower action.

D) Detemir:
Detemir is a long-acting insulin analogue that provides basal insulin coverage. Similar to glargine, it is not ideal for the acute treatment of diabetic ketoacidosis due to its slower onset and extended duration of action.

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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

Correct Answer is ["1"]

Explanation

A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?

Correct Answer is A

Explanation

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