6) A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective?
A. I will take a stool softener until my eye is healed.
B. I will expect to have moderately severe pain for 1-2 days
C. I will refrain from cooking for 1 week
D. I will bend at the waist to tie my shoes
7) A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?
A. When my vision improves I will be able to stop taking the eye drops
B. If I forget to take my eye drops, I should wait until the next time they are due.
C. I should call the clinic before taking any over-the-counter medications
D. Every 2 years I will need to have my vision checked by an eye doctor
8) A nurse is reinforcing teaching with a client to has chronic open angle glaucoma. The client has been prescribed pilocarpine ophthalmic solution. Which of the following statements by the client demonstrates an understanding of the teaching?
A. I'll use the eye drops once daily 1st thing in the morning
B. I'll be able to see better at night while taking this medication
C. I should expect blurred vision for up to 2 hours after using the medication
D. Since these drops go right into my eyes, I won't experience medication effects in other parts of my body
9) A nurse is preparing to administer ofloxacin otic drops to in adult client who has otitis externa. Which of the following actions should the nurse take?
A. Hold the dropper against the ear canal while instilling the medication
B. Apply gentle pressure with a finger to the tragus of the ear
C. Chill the medication prior to administration
D. Straighten the external auditory canal by pulling it down and back
10) A nurse notes that the left eyelid of a client who is unconscious remains partially open. To protect the eye, which of the following actions should the nurse take?
A. Irrigate the eye daily with 0.9% sodium chloride irrigation solution.
B. Dim the lights in the room.
C. Instill ophthalmic ointment into the lower lid
D. Keep the client off her left side
Answers:
6. A
7. C
8. C
9. B
10. D
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6) The correct answer is A. "I will take a stool softener until my eye is healed." This indicates that the client understands the importance of preventing straining during bowel movements to avoid increased intraocular pressure after cataract extraction.
7) The correct answer is C. "I should call the clinic before taking any over-the-counter medications." This shows that the client understands the need to consult their healthcare provider before taking any new medications that could potentially interact with their glaucoma eye drops.
8) The correct answer is C. "I should expect blurred vision for up to 2 hours after using the medication." This indicates that the client understands the common side effect of pilocarpine, which is temporary blurry vision.
9) The correct answer is B. "Apply gentle pressure with a finger to the tragus of the ear." This action helps in assisting the flow of otic drops into the ear canal and ensures proper administration.
10) The correct answer is D. "Keep the client off her left side." This action helps prevent corneal drying and exposure in an unconscious patient with partially open eyelids.
To determine the correct answers to these questions, we will need to analyze each option and eliminate the incorrect ones.
6) A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective?
A. I will take a stool softener until my eye is healed.
B. I will expect to have moderately severe pain for 1-2 days.
C. I will refrain from cooking for 1 week.
D. I will bend at the waist to tie my shoes.
To determine the correct answer, we need to consider the post-operative care instructions for a cataract extraction. Options A, B, and D are not directly related to the post-operative care of a cataract extraction. Option C is a relevant instruction as it advises the client to refrain from cooking for one week, which can involve heat, steam, or other factors that may affect the healing process of the eye. Therefore, the correct answer is C.
7) A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open-angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?
A. When my vision improves I will be able to stop taking the eye drops.
B. If I forget to take my eye drops, I should wait until the next time they are due.
C. I should call the clinic before taking any over-the-counter medications.
D. Every 2 years I will need to have my vision checked by an eye doctor.
To determine the correct answer, we need to consider the instructions for managing chronic open-angle glaucoma. Option A is incorrect as it suggests stopping the eye drops when vision improves, which is not the recommended course of action. Option B is incorrect as it advises waiting until the next scheduled time to take the missed eye drops, which may disrupt the prescribed medication schedule. Option D is incorrect as regular vision checks should be scheduled more frequently than every 2 years for a client with chronic open-angle glaucoma. Option C is the correct answer as it indicates the client's understanding of the need to consult the clinic before taking any over-the-counter medications, which is important to ensure that any potential interactions or contraindications are considered.
8) A nurse is reinforcing teaching with a client who has chronic open-angle glaucoma. The client has been prescribed pilocarpine ophthalmic solution. Which of the following statements by the client demonstrates an understanding of the teaching?
A. I'll use the eye drops once daily first thing in the morning.
B. I'll be able to see better at night while taking this medication.
C. I should expect blurred vision for up to 2 hours after using the medication.
D. Since these drops go right into my eyes, I won't experience medication effects in other parts of my body.
To determine the correct answer, we need to consider the instructions for using pilocarpine ophthalmic solution. Option A is incorrect as it suggests using the eye drops once daily in the morning, whereas the frequency of the medication administration may vary. Option B is incorrect as it makes a false statement about seeing better at night while taking this medication. Option C is the correct answer as it demonstrates an understanding of the teaching by acknowledging the potential side effect of blurred vision after using the medication. Option D is incorrect as it falsely suggests that because the drops go directly into the eyes, there won't be any medication effects in other parts of the body.
9) A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa. Which of the following actions should the nurse take?
A. Hold the dropper against the ear canal while instilling the medication.
B. Apply gentle pressure with a finger to the tragus of the ear.
C. Chill the medication prior to administration.
D. Straighten the external auditory canal by pulling it down and back.
To determine the correct answer, we need to consider the appropriate administration technique for otic drops. Option A is incorrect as it suggests holding the dropper against the ear canal, which is an incorrect technique. Option C is incorrect as chilling the medication is not necessary for administration. Option D is incorrect as it suggests straightening the external auditory canal by pulling it down and back, which is an incorrect technique for adults. Option B is the correct answer as it advises applying gentle pressure with a finger to the tragus of the ear, which helps facilitate the passage of the medication into the ear canal.
10) A nurse notes that the left eyelid of a client who is unconscious remains partially open. To protect the eye, which of the following actions should the nurse take?
A. Irrigate the eye daily with 0.9% sodium chloride irrigation solution.
B. Dim the lights in the room.
C. Instill ophthalmic ointment into the lower lid.
D. Keep the client off her left side.
To determine the correct answer, we need to consider the appropriate action to protect the eye in this situation. Option A is incorrect as daily irrigation with sodium chloride is unnecessary and may cause discomfort or damage to the eye. Option B is incorrect as dimming the lights in the room does not directly protect the eye. Option C is incorrect as instilling ophthalmic ointment into the lower lid does not address the issue of the partially open eyelid. Option D is the correct answer as keeping the client off her left side will ensure that the open eyelid is protected from potential harm, such as corneal drying or injury.
Therefore, the correct answers are:
6) C
7) C
8) C
9) B
10) D