The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of the eye drops?

Pupillary constriction.

Refraction.

Eye convergence.

Accommodation.

Answer and Explanation

The Correct Answer is A

A. Pupillary constriction: Mydriatic eye drops are designed to dilate the pupils, which means they inhibit pupillary constriction. During the therapeutic period after administration, the pupil remains dilated and does not constrict in response to light or other stimuli.
B. Refraction: Refraction, the bending of light as it passes through the eye's lens and cornea, is not directly affected by mydriatic eye drops. The process of focusing light onto the retina is still functional even when the pupils are dilated.
C. Eye convergence: Eye convergence, the inward movement of both eyes toward each other to focus on a close object, remains functional during mydriasis. Mydriatic drops do not typically impair this ability.
D. Accommodation: Accommodation, the eye's ability to change the focus from distant to near objects, is affected by mydriatic drops. These medications paralyze the ciliary muscles responsible for accommodation, making it difficult to focus on near objects during the period of dilation.

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Correct Answer is C

Explanation

A. Check blood glucose levels every six hours: Monitoring blood glucose levels is crucial for managing diabetes, but checking them every six hours may not be frequent enough for clients on insulin lispro. This rapid-acting insulin requires closer monitoring, particularly around mealtimes, to effectively manage blood glucose levels and adjust dosing as needed.
B. Assess for hypoglycemia between meals: Assessing for hypoglycemia is important, but it is not the most critical intervention specifically related to the administration of insulin lispro. This insulin acts quickly and is closely tied to meal timing, so the primary focus should be on ensuring proper meal timing to prevent hypoglycemia.
C. Provide meals at the same time this insulin is given: Insulin lispro is a rapid-acting insulin that begins to work within 15 minutes and peaks around 1-2 hours after administration. It is crucial to provide meals at the same time or shortly after administering insulin lispro to match the timing of the insulin’s peak effect and prevent hypoglycemia. This synchronization helps ensure that the glucose from the meal is available to counterbalance the insulin's action.
D. Keep an oral liquid or glucose source available: While it is important to have a source of glucose available in case of hypoglycemia, the most critical intervention for managing insulin lispro is ensuring that the client receives their meals in sync with the insulin administration. Having a glucose source is a good safety measure, but providing meals at the appropriate time is more directly related to the effective use of rapid-acting insulin.

A. Osteoarthritis. B. Chronic alcoholism. C. Type 2 diabetes mellitus. D. Migraine headaches.

Correct Answer is B

Explanation

A. Osteoarthritis: Osteoarthritis is a common condition for which diclofenac is often prescribed. While it is important to monitor the effectiveness of the medication in treating osteoarthritis symptoms, the presence of this condition itself does not pose the greatest concern for the potential side effects or interactions of diclofenac.
B. Chronic alcoholism: Chronic alcoholism is of significant concern when a client is prescribed diclofenac. NSAIDs, including diclofenac, can irritate the gastrointestinal tract and increase the risk of gastrointestinal bleeding or ulcers, a risk that is heightened in individuals with a history of chronic alcoholism. This history makes monitoring for gastrointestinal side effects crucial, as chronic alcohol use can exacerbate these risks.
C. Type 2 diabetes mellitus: While diabetes mellitus can influence overall health and complicate the management of chronic conditions, it is not the most pressing concern related to the use of diclofenac. Diabetes management primarily involves monitoring blood glucose levels and managing diabetes-related complications, rather than the direct side effects of NSAIDs.
D. Migraine headaches: Migraine headaches are not directly related to the side effects or risks associated with diclofenac use. Although NSAIDs can be used to treat migraines, the presence of migraine headaches does not pose as significant a concern regarding the medication’s potential adverse effects as does a history of chronic alcoholism.

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The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of the eye drops?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus (DM) who is receiving insulin lispro?

Correct Answer is C

Explanation

A client has a new prescription for diclofenac, a nonsteroidal antiinflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?

Correct Answer is B

Explanation

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