NURS 242 Top-Scoring Materials – Med-Surg
Nursing Concepts – Fully Solved, Graded Content
with Real Clinical Case Studies
A client with type 2 diabetes is admitted to the ambulatory surgery unit for elective
cataract surgery. Before surgery the client asks the nurse, "How will my diabetes be managed
while I am here?" Which is the best response by the nurse? - I'm not quite certain I
understand what you are asking."
Which explanation would the nurse provide a client who asks what a cataract is? -
An opacity of the lens
A client reports feeling nauseated immediately after cataract surgery. Which action
would the nurse take? - Administer the prescribed antiemetic
Which information would the nurse include in postoperative teaching for a client who
had cataract surgery? Select all that apply. One, some, or all responses may be correct. -
Don't blow your nose, avoid bending from the waist
Which client statement indicates that the discharge teaching after a cataract extraction
and an intraocular lens implant is effective? - I should call the clinic if my eye begins to
hurt.
Which instruction is important for the nurse to provide to the client after cataract
surgery? - Avoid bending from the waist
Which condition can cause a client severe pain after a cataract extraction? -
Hemorrhage into the eye
After cataract surgery, the nurse teaches a client how to self-administer eyedrops. The
nurse would reinforce the use of which technique? - Holding the dropper tip above the
conjunctival sac
After cataract surgery, a client reports feeling nauseated. How can the nurse prevent
vomiting? - Administer the prescribed antiemetic medication
Exposure to which element would be the reason for cataracts in a 36-year-old client who
is a glass worker? Select all that apply. One, some, or all responses may be correct. -
Heat, metal powder
, Which rationale would the nurse include in teaching a client with glaucoma about the
need for treatment? - Lost vision cannot be restored
Which treatment goal would the nurse emphasize when teaching a client with a
diagnosis of open-angle glaucoma? - Control intraocular pressure
Which information would the nurse include in explaining glaucoma to a client? -
An increase in the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that it is important
to seek treatment for primary open-angle glaucoma (POAG)? - Prevent blindness
While assessing the eyes of a client, a health care provider notices there is an
obstruction to the outflow of aqueous humor. Which additional finding would be noted to
support a diagnosis of glaucoma? - Elevated intraocular pressure
Which medication worsens uncontrolled angle-closure glaucoma when used for the
treatment of generalized anxiety disorder? - Duloxetine
The nurse understands that which second-generation antidepressant can worsen
uncontrolled angle-closure glaucoma? - Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to
manage this condition? - Timolol maleate
The nurse concludes that a client with glaucoma needs education when the client makes
which statement? - "Sedatives may increase the pressure in my eye."
Which medication would the nurse anticipate may be prescribed to produce diuresis and
inhibit formation of aqueous humor for a client with glaucoma? - Acetazolamide
Which clinical indicator is the nurse most likely to identify when exploring the history of
a client with open-angle glaucoma? - Impairment of peripheral vision
Which beta-adrenergic blocker is prescribed to clients with glaucoma? - betaxolol
Which medication used in the treatment of clients with glaucoma is a prostaglandin
agonist? - Bimatoprost
Which information would the nurse include about future treatment and precautions
when teaching a client who has glaucoma? - Continuation of therapy for life
, A debilitated older client who has glaucoma places great value on independence. What
would the nurse encourage the client to do after discharge from the hospital? - Self-
administer eye medications using appropriate technique
Which finding would the nurse anticipate in the health history of a client who has open-
angle (chronic) glaucoma? - Loss of peripheral vision
Which symptom would the nurse expect the client who has primary open-angle
glaucoma to report? - decreased peripheral vision
The nurse is providing instructions to a client who has glaucoma. Which statements by
the client indicate that the nurse needs to intervene? Select all that apply. One, some, or all
responses may be correct. - I can lift objects than weight more than 10lbs, I should keep
my head in dependent position
A client with glaucoma is receiving a carbonic anhydrase inhibitor. Which statement
made by the client will require the nurse to notify the primary health care provider? - "I
am allergic to sulfonamides."
Which ophthalmic solution is contraindicated for clients with glaucoma? -
Atropine
Which technique used by the nurse demonstrates medication safety and effectiveness
when assisting an older client to instill prescribed eyedrops for glaucoma? Select all that apply.
One, some, or all responses may be correct. - Pressing the inner canthus for 1 to 2
minutes after instillation
An infant exhibits purulent conjunctivitis on the fourth day of life and is brought to the
emergency department. Which is the priority nursing action? - Assessing the infant for
signs of pneumonia
macular degeneration - loss of central vision
Which ocular symptom would the nurse expect a client with a diagnosis of dry age-
related macular degeneration to report? - Loss of central vision
Which response reported by an older adult client would the nurse identify as consistent
with the diagnosis of macular degeneration? - I can't see objects in the center of my
vision field.
Which instruction would the nurse give to a client with reduced sensory perception? -
Use a bath thermometer
Nursing Concepts – Fully Solved, Graded Content
with Real Clinical Case Studies
A client with type 2 diabetes is admitted to the ambulatory surgery unit for elective
cataract surgery. Before surgery the client asks the nurse, "How will my diabetes be managed
while I am here?" Which is the best response by the nurse? - I'm not quite certain I
understand what you are asking."
Which explanation would the nurse provide a client who asks what a cataract is? -
An opacity of the lens
A client reports feeling nauseated immediately after cataract surgery. Which action
would the nurse take? - Administer the prescribed antiemetic
Which information would the nurse include in postoperative teaching for a client who
had cataract surgery? Select all that apply. One, some, or all responses may be correct. -
Don't blow your nose, avoid bending from the waist
Which client statement indicates that the discharge teaching after a cataract extraction
and an intraocular lens implant is effective? - I should call the clinic if my eye begins to
hurt.
Which instruction is important for the nurse to provide to the client after cataract
surgery? - Avoid bending from the waist
Which condition can cause a client severe pain after a cataract extraction? -
Hemorrhage into the eye
After cataract surgery, the nurse teaches a client how to self-administer eyedrops. The
nurse would reinforce the use of which technique? - Holding the dropper tip above the
conjunctival sac
After cataract surgery, a client reports feeling nauseated. How can the nurse prevent
vomiting? - Administer the prescribed antiemetic medication
Exposure to which element would be the reason for cataracts in a 36-year-old client who
is a glass worker? Select all that apply. One, some, or all responses may be correct. -
Heat, metal powder
, Which rationale would the nurse include in teaching a client with glaucoma about the
need for treatment? - Lost vision cannot be restored
Which treatment goal would the nurse emphasize when teaching a client with a
diagnosis of open-angle glaucoma? - Control intraocular pressure
Which information would the nurse include in explaining glaucoma to a client? -
An increase in the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that it is important
to seek treatment for primary open-angle glaucoma (POAG)? - Prevent blindness
While assessing the eyes of a client, a health care provider notices there is an
obstruction to the outflow of aqueous humor. Which additional finding would be noted to
support a diagnosis of glaucoma? - Elevated intraocular pressure
Which medication worsens uncontrolled angle-closure glaucoma when used for the
treatment of generalized anxiety disorder? - Duloxetine
The nurse understands that which second-generation antidepressant can worsen
uncontrolled angle-closure glaucoma? - Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to
manage this condition? - Timolol maleate
The nurse concludes that a client with glaucoma needs education when the client makes
which statement? - "Sedatives may increase the pressure in my eye."
Which medication would the nurse anticipate may be prescribed to produce diuresis and
inhibit formation of aqueous humor for a client with glaucoma? - Acetazolamide
Which clinical indicator is the nurse most likely to identify when exploring the history of
a client with open-angle glaucoma? - Impairment of peripheral vision
Which beta-adrenergic blocker is prescribed to clients with glaucoma? - betaxolol
Which medication used in the treatment of clients with glaucoma is a prostaglandin
agonist? - Bimatoprost
Which information would the nurse include about future treatment and precautions
when teaching a client who has glaucoma? - Continuation of therapy for life
, A debilitated older client who has glaucoma places great value on independence. What
would the nurse encourage the client to do after discharge from the hospital? - Self-
administer eye medications using appropriate technique
Which finding would the nurse anticipate in the health history of a client who has open-
angle (chronic) glaucoma? - Loss of peripheral vision
Which symptom would the nurse expect the client who has primary open-angle
glaucoma to report? - decreased peripheral vision
The nurse is providing instructions to a client who has glaucoma. Which statements by
the client indicate that the nurse needs to intervene? Select all that apply. One, some, or all
responses may be correct. - I can lift objects than weight more than 10lbs, I should keep
my head in dependent position
A client with glaucoma is receiving a carbonic anhydrase inhibitor. Which statement
made by the client will require the nurse to notify the primary health care provider? - "I
am allergic to sulfonamides."
Which ophthalmic solution is contraindicated for clients with glaucoma? -
Atropine
Which technique used by the nurse demonstrates medication safety and effectiveness
when assisting an older client to instill prescribed eyedrops for glaucoma? Select all that apply.
One, some, or all responses may be correct. - Pressing the inner canthus for 1 to 2
minutes after instillation
An infant exhibits purulent conjunctivitis on the fourth day of life and is brought to the
emergency department. Which is the priority nursing action? - Assessing the infant for
signs of pneumonia
macular degeneration - loss of central vision
Which ocular symptom would the nurse expect a client with a diagnosis of dry age-
related macular degeneration to report? - Loss of central vision
Which response reported by an older adult client would the nurse identify as consistent
with the diagnosis of macular degeneration? - I can't see objects in the center of my
vision field.
Which instruction would the nurse give to a client with reduced sensory perception? -
Use a bath thermometer
