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. D
7. C
8. C
9. B
10. D
6) D. I will bend at the waist to tie my shoes. Just make sure not to trip and fall in the process, otherwise, you'll be seeing more than just the inside of your shoes!
7) C. I should call the clinic before taking any over-the-counter medications. Just remember, the clinic might not have a remedy for your addiction to online shopping.
8) C. I should expect blurred vision for up to 2 hours after using the medication. Embrace the blur, my friend. It's like trying to read a book without your glasses on – a true adventure!
9) B. Apply gentle pressure with a finger to the tragus of the ear. No need to go all WWE on your ear, a gentle touch will do the trick.
10) D. Keep the client off her left side. And while you're at it, make sure she doesn't find out about her left eyelid's rebellious streak. It's the only way to keep the peace in the eye kingdom!
6) The correct answer is D. "I will bend at the waist to tie my shoes." This statement indicates that the client understands the teaching because bending at the waist can increase intraocular pressure, which can be harmful following a cataract extraction. It is important for the client to avoid activities that increase eye pressure until healing is complete.
7) The correct answer is C. "I should call the clinic before taking any over-the-counter medications." This statement indicates that the client understands the teaching because certain medications, including over-the-counter medications, can interact with the eye drops used to manage chronic open angle glaucoma. It is important for the client to check with their healthcare provider before taking any new medications.
8) The correct answer is C. "I should expect blurred vision for up to 2 hours after using the medication." This statement indicates that the client understands the teaching because blurred vision is a common side effect of pilocarpine ophthalmic solution. It is important for the client to be aware of this and avoid tasks that require clear vision during this time.
9) The correct answer is B. "Apply gentle pressure with a finger to the tragus of the ear." This action indicates that the nurse understands the correct administration technique for ofloxacin otic drops. Applying gentle pressure to the tragus of the ear helps promote proper distribution of the medication within the ear canal.
10) The correct answer is D. "Keep the client off her left side." This action indicates that the nurse understands the need to protect the client's eye. Keeping the client off her left side helps prevent any pressure or damage to the eye that may occur due to the partial opening of the eyelid while the client is unconscious.
To answer question 6, we are evaluating discharge instructions following a right cataract extraction. The correct answer choice is D. "I will bend at the waist to tie my shoes." This statement indicates that the teaching is effective because bending at the waist instead of bending forward at the neck reduces the risk of increased intraocular pressure, which can be harmful during the healing process after cataract surgery.
To answer question 7, we are reinforcing teaching with a client who has been newly diagnosed with chronic open-angle glaucoma. The correct answer choice is C. "I should call the clinic before taking any over-the-counter medications." This statement indicates an understanding of the teaching because certain over-the-counter medications, such as antihistamines and decongestants, can worsen the symptoms of glaucoma by increasing intraocular pressure. Therefore, it is important for the client to consult with their healthcare provider before taking any new medications.
To answer question 8, we are reinforcing teaching with a client who has chronic open-angle glaucoma and has been prescribed pilocarpine ophthalmic solution. The correct answer choice is C. "I should expect blurred vision for up to 2 hours after using the medication." This statement demonstrates an understanding of the teaching because blurred vision is a common side effect of pilocarpine eye drops. It typically resolves within a few hours after administration.
To answer question 9, we are preparing to administer ofloxacin otic drops to an adult client who has otitis externa. The correct answer choice is B. "Apply gentle pressure with a finger to the tragus of the ear." This action helps facilitate the entry of the medication into the ear canal and aids in its distribution, allowing for better treatment of the infection.
To answer question 10, we are taking measures to protect the eye of an unconscious client whose left eyelid remains partially open. The correct answer choice is D. "Keep the client off her left side." By keeping the client off her left side, we can help prevent the cornea from drying out due to exposure and ensure the protection of the eye until it can close naturally.