A nurse performing a right eye irrigation will position the patient:
Supine with the head tilted toward the right eye.
Upright with the head tilted toward the left eye.
Upright with the head hyperextended.
Supine with the head hyperextended.
The Correct Answer is A
Choice A rationale:
The supine position with the head tilted toward the right eye allows the solution to flow away from the nose and mouth, preventing aspiration or discomfort.
Choice B rationale:
An upright position with the head tilted toward the left eye would cause the solution to flow into the nose and mouth, which could lead to aspiration or discomfort.
Choice C rationale:
An upright position with the head hyperextended would not allow for proper drainage of the solution, potentially causing discomfort or complications.
Choice D rationale:
A supine position with the head hyperextended would not allow for proper drainage of the solution, potentially causing discomfort or complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A pressure injury is a general term for localized damage to the skin and underlying soft tissue, but it doesn’t specify the stage.
Choice B rationale:
Stage 2 pressure injuries involve partial-thickness loss of skin with exposed dermis.
Choice C rationale:
Stage 1 pressure injuries are characterized by a reddened area on the skin that does not blanch with pressure.
Choice D rationale:
Stage 3 pressure injuries involve full-thickness skin loss.
Choice E rationale:
Stage 4 pressure injuries involve full-thickness skin and tissue loss with exposed or directly palpable fascia.
Correct Answer is C
Explanation
Choice A rationale:
Wrapping the dressing in a clear plastic bag and discarding it in the bedside trash receptacle is incorrect because it does not follow proper biohazardous waste disposal protocols.
Choice B rationale:
Double bagging the dressing, labeling it “biohazard,” and sending it for decontamination is incorrect because it is not the standard procedure for disposing of soiled dressings.
Choice C rationale:
Placing the dressing in a biohazardous waste container is the correct method for disposing of soiled dressings.
Choice D rationale:
Discarding the dressing in the bedside trash receptacle is incorrect because it does not follow proper biohazardous waste disposal protocols.
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