study clinic 5

The client diagnosed with glaucoma is prescribed epinephrine ophthalmic drops. Which statement indicates the client understands the client teaching? A."I will call my HCP if I start experiencing any eye pain." B."This medication does not interfere with any over-the-counter medication." C."I will probably experience anxiety, nervousness, and muscle tremors." D."After putting the medication in my eyes I must lie down for 1 hour."

A."I will call my HCP if I start experiencing any eye pain."

A nurse is working with a child who has Osgood-Schlatter disease. Which of the following clients would be the most likely to develop this condition? A.A 13-year-old boy who is on his school's cross-country team. B.A 9-year-old boy who is sedentary. C.An 11-year-old girl who is obese. D.A 15-year-old girl who dances ballet.

A.A 13-year-old boy who is on his school's cross-country team.

The client is take to the emergency department with an injury to the left arm. Which intervention should the nurse implement first? A.Assess the nail beds for capillary refill time. B.Remove the client's clothing from the arm. C.Call radiology for a STAT x-ray of the extremity. D.Prepare the client for the application of a cast.

A.Assess the nail beds for capillary refill time.

A 6-year-old involved in a bicycle crash has a spleen injury and a right tibia/fibula fracture that has been casted. Which is an early sign of compartment syndrome in this child? Select all that apply. A.Edema B.Pressure C.Pain D.Weak pulse E.Annular rash

A.Edema B.Pressure C.Pain

The nurse suspects that a home care patient recovering from hip replacement surgery is developing osteomyelitis. What findings caused the nurse to come to this conclusion? Select all that apply. A.Fever B.Bone deformity C.Pain unrelieved by rest D.Progressive muscle weakness E.Tenderness and warmth at the surgical site

A.Fever C.Pain unrelieved by rest E.Tenderness and warmth at the surgical site

The nurse would prioritize which client concern as being most important for a client experiencing an attack of Meniere's disease? A.Increased chance of injury. B.Interruption of sleep pattern. C.Reduced sensory perception related to hearing disorder. D.Inability to cope with disease.

A.Increased chance of injury.

The nurse is preparing to care for a client newly diagnosed with Meniere's disease. What should be included in the nursing actions? Select all that apply. A.Keep an emesis basin at the bedside. B.Keep all 4 side rails up to minimize chance of falls. C.Leave the television on for the client for distraction. D.Discuss labyrinthectomy with the client. E.Teach client to avoid sudden head movements.

A.Keep an emesis basin at the bedside. E.Teach client to avoid sudden head movements.

The client is diagnosed with primary open-angle glaucoma. Which symptom should the nurse expect the client to report? A.Loss of peripheral vision. B.Floating spots in the vision. C.A yellow haze around everything. D.A curtain coming across vision.

A.Loss of peripheral vision.

Which risk factors should the nurse discuss with the client concerning reasons for hearing loss? Select all that apply. A.Perforation of the tympanic membrane. B.Chronic exposure to loud noises. C.Recurrent ear infections. D.Use of nephrotoxic medications. E.Multiple piercings in the auricle.

A.Perforation of the tympanic membrane. B.Chronic exposure to loud noises. C.Recurrent ear infections.

The client sustained a fractured femur in a motor-vehicle accident. Which data require immediate intervention by the nurse? Select all that apply. A.The client's blood pressure is 190/89. B.The client has eupnea and normal sinus rhythm. C.The client has petechiae over the neck and chest. D.The client has a high arterial oxygen level. E.The client has yellow globules floating in the urine.

A.The client's blood pressure is 190/89. C.The client has petechiae over the neck and chest. E.The client has yellow globules floating in the urine.

The nurse is caring for the client who had a right shoulder replacement. Which data warrant immediate intervention? A.The client's hemoglobin is 8.1 g/dL. B.The client's white blood cell count is 9,000mm3. C.The client's creatinine level is 0.8 mg/dL. D.The client's potassium level is 4.2 mEq/L.

A.The client's hemoglobin is 8.1 g/dL.

Which clinical manifestations do the nurse anticipate for the patient who is suspected of having compartment syndrome? Select all that apply. A.The patient reports pain. B.The patient's limb is red. C.The patient reports numbness. D.The patient's pulses are bounding. E.The patient reports a feeling of pressure.

A.The patient reports pain. C.The patient reports numbness. E.The patient reports a feeling of pressure.

The 65-year-old client is diagnosed with macular degeneration. Which statement by the client indicates the client needs more discharge teaching? A."I should use magnification devices as much as possible." B."I will look at my Amsler grid at least twice a week." C."I need to use low-watt light bulbs in my house." D."I am going to contact a low-vision center to evaluate my home."

C."I need to use low-watt light bulbs in my house."

A client who has undergone a left tympanoplasty should be instructed to: A.Remain on bed rest. B.Keep the head of the bed elevated at all times. C.Avoid blowing their nose. D.Irrigate the left ear canal with antibiotics.

C.Avoid blowing their nose.

The client is complaining of ringing in the ears. Which data is most appropriate for the nurse to document in the client's chart? A.Complaints of vertigo. B.Complaints of myopia. C.Complaints of tinnitus. D.Complaints of presbycusis.

C.Complaints of tinnitus.

The client comes to the clinic and is diagnosed with otitis media. Which intervention should the clinic nurse include in the discharge teaching? A.Instruct the client not to take any over-the-counter pain medication. B.Encourage the client to apply cold packs to the affected ear. C.Tell the client to call the HCP if an abrupt relief of ear pain occurs. D.Wear a protective ear plug in the affected ear.

C.Tell the client to call the HCP if an abrupt relief of ear pain occurs.

The nurse is giving discharge instructions to a client who had cataract surgery a few hour earlier. Which instructions must the nurse include? Select all that apply. A.Report itching and redness B.Resume all preoperative activities C.Visual changes should be reported immediately D.Creamy white discharge is a sign of infection E.Avoid coughing, sneezing, or straining.

C.Visual changes should be reported immediately E.Avoid coughing, sneezing, or straining.

17. The client reports having dry and irritated eyes to the clinic nurse. Which intervention should the nurse implement first? A.Recommend the client use artificial tears in both eyes. B.Assess the eyes for any redness or discharge. C.Check the client's eyes using the ophthalmoscope. D.Evaluate the client's cardinal fields of vision.

B.Assess the eyes for any redness or discharge.

Which instruction should the nurse discuss with the female client with viral conjunctivitis? A.Contact the HCP if pain occurs. B.Do not share towels or linens. C.Apply warm compresses to the eyes. D.Apply makeup very lightly.

B.Do not share towels or linens.

The nurse observes that an 18-year-old female client has asymmetry of the shoulders and hips, and the hem of her dress is uneven. The nurse suspects that the client may be presenting with which disorder? A.Congenital hip dislocation. B.Scoliosis. C.Fractured tibia. D.Degenerative disk disease.

B.Scoliosis.

A client is seen at the healthcare provider's office and diagnosed with a detached retina of the right eye. The nurse should place the highest priority on performing which intervention? A.Prepare for tonometry testing. B.Allow client to get out of bed but keeping room darkened. C.Give eye drops every hour and allowing bathroom privileges only. D.Position client on the left side and patching both eyes.

D.Position client on the left side and patching both eyes.