For the patient who wears contact lenses, which intervention would the nurse teach the patient when diagnoses with bacterial conjunctivitis?

Put all used cosmetics in a plastic bag for one week to kill any bacteria before reusing

Disinfect contact lenses by soaking in a cleaning solution for 48 hrs.

Discard all opened or used contact lenses and les care products

Disinfect all lesions care products with prescribed antibiotic drops for one week post infection

Answer and Explanation

The Correct Answer is C

A.   Put all used cosmetics in a plastic bag for one week to kill any bacteria before reusing: This is not a recommended intervention. Disinfecting or discarding the cosmetics would be better.
B.   Disinfect contact lenses by soaking in a cleaning solution for 48 hrs: Bacterial conjunctivitis requires the patient to discard lenses for proper infection control.
C.   Discard all opened or used contact lenses and lens care products: Discarding contaminated lenses and care products prevents reinfection.

D.   Disinfect all lens care products with prescribed antibiotic drops for one-week post infection: This is not recommended as a general practice; lenses and solutions should be discarded instead.

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Correct Answer is D

Explanation

A. CN V (Trigeminal nerve) is responsible for sensation in the face and motor function for chewing, not eye movement or pupil constriction.
B. CN VIII (Vestibulocochlear nerve) deals with hearing and balance, not eye function.
C. CN IV (Trochlear nerve) controls eye movement, but it does not typically affect the pupil in this way.
D. Cranial nerve III (Oculomotor nerve) controls most eye movements and pupil constriction. A fixed and dilated pupil typically indicates damage to CN III, which may be due to nerve compression, often from increased intracranial pressure or herniation.

A. Manifestations preceded by a severe headache B. Gradual onset of several hours C. History of neurologic deficits lasting less than 1 hr D. Maintains consciousness

Correct Answer is A

Explanation

A. A hemorrhagic stroke, especially after a ruptured cerebral aneurysm, often presents with a sudden, severe headache. This headache is typically described as the "worst headache of my life."
B. Gradual onset of several hours is more typical of an ischemic stroke, not a hemorrhagic stroke.
C. History of neurologic deficits lasting less than 1 hour would suggest a transient ischemic attack (TIA), not a hemorrhagic stroke.
D. Maintains consciousness is not typical of a hemorrhagic stroke, as the client may lose consciousness or be altered in their mental status due to the bleeding.

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For the patient who wears contact lenses, which intervention would the nurse teach the patient when diagnoses with bacterial conjunctivitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse observes a patient whose right eye is fixed and dilated, for which cranial nerve (CN) would the nurse suspect nerve compression?

Correct Answer is D

Explanation

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?

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