A client with visual limitations has been admitted to the intensive care unit (ICU).
Which action is most important to implement for this client?
A. Allowing the client's seeing-eye dog in the unit
B. Making all health care team members aware of the client's visual limitations
C. Keeping the client bedridden for safety
D. Addressing the client in a loud, clear voice
Give this one a try later!
, B. Making all health care team members aware of the client's visual
limitations
The nurse is teaching a client about administering eye drops to treat open-angle
glaucoma. Which statement by the client indicates a need for further instruction?
A. "I must wait 10 to 15 minutes between different eye drop medications."
B. "I must press on the inside of my eye to prevent washout."
C. "It is important to not skip a dose."
D. "These eye drops will not cure my glaucoma."
Give this one a try later!
B. "I must press on the inside of my eye to prevent washout."
(Pressing on the inside of the eye after instillation of eye medication
prevents systemic absorption of the drug)
A client has purulent drainage in the inner canthus of the eye. Before examining the
eye, what must the nurse do first?
A. Administer a Snellen test.
B. Obtain an informed consent.
C. Instill antibiotic drops.
D. Put on gloves.
Give this one a try later!
D. Put on gloves.
,When performing an eye or vision assessment, which comment by the client alerts the
nurse that immediate care by an ophthalmologist is needed?
A. "One eye is green and the other eye is blue."
B. "My eyes are red and itchy."
C. "My vision has been getting worse gradually."
D. "Something hit my eye while I was cutting grass."
Give this one a try later!
D. "Something hit my eye while I was cutting grass."
(The client who is experiencing trauma, a foreign body in the eye, sudden
ocular pain, or sudden redness should be seen immediately by an
ophthalmologist.)
A client is being discharged after a total abdominal hysterectomy (TAH). What
principle guides the nurse in planning discharge care and teaching?
A. Clients in their childbearing years generally adapt better.
B. No special home equipment will be necessary for the client.
C. Psychological reactions would be evident by discharge.
D. The client can resume normal activities upon discharge.
Give this one a try later!
B. No special home equipment will be necessary for the client.
Interventions that the nurse utilizes to prevent extravasation during chemotherapy
infusion include:
a. Frequently checking the IV site for swelling and tenderness
b. A 2 RN check of medication "rights" prior to infusion
, c. Observing for cloudiness in the IV tubing
d. Assuring that the proper antidote has been ordered
Give this one a try later!
a. Frequently checking the IV site for swelling and tenderness
The nurse is reviewing laboratory results on a 34-year-old client who is suspected of
having endometrial (uterine) cancer. Which laboratory tests does the nurse expect to
see?
Select all that apply.
A. Alpha-fetoprotein (AFP) test
B. Cancer antigen (CA)-125 test
C. Human chorionic gonadotropin (hCG) level
D. Complete Blood Count (CBC)
E. Serum electrolytes
F. Hereditary nonpolyposis colon cancer (HNPCC) test
Give this one a try later!
A. Alpha-fetoprotein (AFP) test
B. Cancer antigen (CA)-125 test
C. Human chorionic gonadotropin (hCG) level
D. Complete Blood Count (CBC)
F. Hereditary nonpolyposis colon cancer (HNPCC) test
A client with new-onset diminished vision is being discharged and is concerned about
living independently. Which nursing technique best facilitates independent self-care
for the client?
A. Building on the remaining vision
B. Keeping the floor free of clutter
C. Suggesting a seeing-eye animal companion
D. Teaching Braille
Which action is most important to implement for this client?
A. Allowing the client's seeing-eye dog in the unit
B. Making all health care team members aware of the client's visual limitations
C. Keeping the client bedridden for safety
D. Addressing the client in a loud, clear voice
Give this one a try later!
, B. Making all health care team members aware of the client's visual
limitations
The nurse is teaching a client about administering eye drops to treat open-angle
glaucoma. Which statement by the client indicates a need for further instruction?
A. "I must wait 10 to 15 minutes between different eye drop medications."
B. "I must press on the inside of my eye to prevent washout."
C. "It is important to not skip a dose."
D. "These eye drops will not cure my glaucoma."
Give this one a try later!
B. "I must press on the inside of my eye to prevent washout."
(Pressing on the inside of the eye after instillation of eye medication
prevents systemic absorption of the drug)
A client has purulent drainage in the inner canthus of the eye. Before examining the
eye, what must the nurse do first?
A. Administer a Snellen test.
B. Obtain an informed consent.
C. Instill antibiotic drops.
D. Put on gloves.
Give this one a try later!
D. Put on gloves.
,When performing an eye or vision assessment, which comment by the client alerts the
nurse that immediate care by an ophthalmologist is needed?
A. "One eye is green and the other eye is blue."
B. "My eyes are red and itchy."
C. "My vision has been getting worse gradually."
D. "Something hit my eye while I was cutting grass."
Give this one a try later!
D. "Something hit my eye while I was cutting grass."
(The client who is experiencing trauma, a foreign body in the eye, sudden
ocular pain, or sudden redness should be seen immediately by an
ophthalmologist.)
A client is being discharged after a total abdominal hysterectomy (TAH). What
principle guides the nurse in planning discharge care and teaching?
A. Clients in their childbearing years generally adapt better.
B. No special home equipment will be necessary for the client.
C. Psychological reactions would be evident by discharge.
D. The client can resume normal activities upon discharge.
Give this one a try later!
B. No special home equipment will be necessary for the client.
Interventions that the nurse utilizes to prevent extravasation during chemotherapy
infusion include:
a. Frequently checking the IV site for swelling and tenderness
b. A 2 RN check of medication "rights" prior to infusion
, c. Observing for cloudiness in the IV tubing
d. Assuring that the proper antidote has been ordered
Give this one a try later!
a. Frequently checking the IV site for swelling and tenderness
The nurse is reviewing laboratory results on a 34-year-old client who is suspected of
having endometrial (uterine) cancer. Which laboratory tests does the nurse expect to
see?
Select all that apply.
A. Alpha-fetoprotein (AFP) test
B. Cancer antigen (CA)-125 test
C. Human chorionic gonadotropin (hCG) level
D. Complete Blood Count (CBC)
E. Serum electrolytes
F. Hereditary nonpolyposis colon cancer (HNPCC) test
Give this one a try later!
A. Alpha-fetoprotein (AFP) test
B. Cancer antigen (CA)-125 test
C. Human chorionic gonadotropin (hCG) level
D. Complete Blood Count (CBC)
F. Hereditary nonpolyposis colon cancer (HNPCC) test
A client with new-onset diminished vision is being discharged and is concerned about
living independently. Which nursing technique best facilitates independent self-care
for the client?
A. Building on the remaining vision
B. Keeping the floor free of clutter
C. Suggesting a seeing-eye animal companion
D. Teaching Braille
