An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.
What is the most important for the clinic nurse to ask the client?
Do you have any discharge from the eye?
Are all of your immunizations up-to-date?
Have you started any new medications recently?
How frequently do you wash your hands?
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
Choice B rationale
While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.
Choice C rationale
Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.
Choice D rationale
Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
While exhibiting posters can be a useful visual aid, it might not be the most effective method. Not all seniors may be able to see or understand the posters, and this method does not allow for much interaction or discussion.
Choice B rationale
Identifying the most commonly consumed foods among the group and discussing each product’s nutritional information would be the most effective method. This approach is personalized and relevant, making the information more likely to be remembered and applied.
Choice C rationale
Screening a film might be informative, but it may not be as engaging or interactive as other methods. Additionally, not all seniors may be able to hear or understand the film.
Choice D rationale
Requesting each senior to bring a food item for others to sample, then estimating the fat content of these foods, could be an engaging activity. However, it might not be practical or safe, especially considering dietary restrictions some seniors might have.
Correct Answer is D
Explanation
Answer and explanation The correct answer is D. Choice A rationale
Staying with someone for 10 hours post-injection is not a standard recommendation after receiving the Hepatitis B Vaccine (HBV). The vaccine is generally well-tolerated, and serious side effects are rare.
Choice B rationale
While it can be comforting to have a family member present during medical procedures, it is not necessary for the final injection of the HBV series.
Choice C rationale
While it is important to encourage vaccination among all eligible individuals, the immediate concern after healthcare workers receive the HBV is not about their family members’ vaccination status.
Choice D rationale
Regular monitoring of immunization levels is important after receiving the HBV series. This is because healthcare workers are at a higher risk of exposure to Hepatitis B, and ensuring immunity is crucial for their safety.
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