VERSION WITH ACCURATE Q&A AND
COMPLETE STUDY GUIDE SUMMARY
◍ A. One of the medications is used to anesthetize the comeal
surface.
B. The iris must be paralyzed during surgery to prevent it from
reacting to light.
C. Pupillary dilation is necessary to access the eye chamber for lens
removal. Answer: A client is receiving ophthalmic drops
preoperatively for a cataract extraction and asks the nurse why the
healthcare provider (HCP) has prescribed all these
medications. Which information should the nurse include when
responding to this client? select all that apply.
A One of the medications is used to anesthetize the comeal surface.
B The iris must be paralyzed during surgery to prevent it from
reacting to light.
C Pupillary dilation is necessary to access the eye chamber for lens
removal.
D A medication is used to induce sleep during the procedure.
E These medications assist in obstructing client's vision during the
surgery.
,◍ C. Take before bedtime. Answer: The nurse is providing education
to a client who receives a prescription for zolpidem. Which
information about the medication should the nurse include?
A. Crush to increase absorption.
B. Store at room temperature.
C. Take before bedtime.
D. Administer with a meal.
◍ Nausea with projectile vomiting. Answer: An adult male client is
brought to the emergency department (ED) by ambulance following
a motorcycle collision. He was not wearing a helmet and presents
with periorbital bruising and bloody drainage from both ears. Which
assessment finding warrants immediate intervention by the nurse?
A. Rib pain with deep inspiration.
B. Nausea with projectile vomiting.
C. Diminished bilateral breath sounds.
D. Rebound abdominal tenderness.
◍ Initiate comfort measures. Answer: An older woman who was
recently diagnosed with end stage metastatic breast cancer is
admitted because she is experiencing shortness of breath and
,confusion. The client refuses to eat and continuously asks to go
home. Arterial blood gas results indicate hypoxia. Which
intervention is most important for the nurse to implement?
A. Initiate comfort measures.
B. Clarify end of life desires:
C. Offer sips of favorite beverages.
D. Prepare for emergent oral intubation.
◍ Apply oxygen via nasal cannula and titrate to keep oxygen
saturation above 93%. Answer: A client with a history of unstable
angina presents to the emergency department (ED) with constant
chest pressure that is unrelieved with rest. The client appears
anoous, pale, and diaphoretic. The nurse should perform which
intervention in the immediote management of the client?
A Apply oxygen via nasal cannula and titrate to keep oxygen
saturation above 93%.
B Listen for extra heart sounds, murmurs, and rhythm with the bell
of the stothoscope.
C Initiate dim lighting, lower alarm volumes, and control traffic in
and out of the room area.
D Evaluate upper and lower extremities for perfusion, pulse volume,
and pitting edema.
, ◍ No further thrombus will form. Answer: A client is receiving a
continuous infusion of the anticoagulant, heparin, for treatment of a
deep vein thrombosis (DVT) of the right calf. Which goal should the
nurse include in this client's plan of care (POC)?
Reference Range:
International normalized ratio (INR) [0.8 to 1.1]
A. The existing thrombosis will dissolve.
B. No further thrombus will form.
C. The circumference of the client's right calf will decrease:
D. The client's INR will be 2.
◍ 1.4 ml. Answer: A client who weighs 65 kg receives a prescription
for lorazepam 44 mcg / kg IV push (IVP) to be administer 20
minutes before a scheduled procedure. The medication is available
as "Lorazepam 2 mg / mL vial," How many mL should the nurse
administer? (Enter numerical value only. If rounding is required,
round to
the nearest tenth.).
◍ Wear closed-toe shoes that are comfortable and fit well. Answer:
The nurse is providing teaching to a client with type 2 diabetes