the following client come to the ophthalmology clinic which client needs to be seen first

ATI RN

Multi Dimensional Care | Final Exam

1. The following client come to the ophthalmology clinic. Which client needs to be seen first?

A. Client who had recent cataract surgery and has worsening vision
B. Client with an absent red reflex on ophthalmic examination
C. Client with an intraocular pressure of 24 mm Hg
D. Client with a tearing, reddened eye with exudate

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

2. What nursing interventions increase the risk the pressure injuries?

A. Padding hard surfaces
B. Have client sit in wheelchair as much as possible
C. Place pillows between bony surfaces
D. Keep head of bed (HOB) at or less than 3

Correct answer: B

Rationale:

3. The client complains of fatigue and joint pain and reports that they are unable to walk due to pain in the knees. What is the most appropriate statement by the nurse?

A. "You just have arthritis and should take some ibuprofen."?
B. "You should avoid walking. This might be osteoporosis."?
C. "Please tell me more about when your pain started."?
D. "You need to lose weight or the pain won't go away."?

Correct answer: C

Rationale:

4. Which among the following is NOT the cause of pressure ulcers?

A. Immobility
B. Poor nutrition
C. Moisture
D. Adequate perfusion

Correct answer: D

Rationale:

5. A client has a fractured right arm. What should the nurse do first?

A. Apply ice to the fracture site
B. Administer pain medications
C. Remove the client’s bracelet and rings from the right arm
D. Send the client to radiology for an x-ray

Correct answer: C

Rationale: The nurse should first remove the client's bracelet and rings from the right arm. This action is crucial to prevent complications such as swelling and restricted blood flow, which could worsen the condition. Applying ice, administering pain medications, and sending the client for an x-ray are important steps but should come after ensuring the client's jewelry is removed to avoid any further issues.