the nurse is teaching the client how to administer eye drops which of these actions indicates the need for further client education

ATI RN

Multi Dimensional Care | Final Exam

1. The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?

A. The client sets the cap down in a manner that does not contaminate it.
B. The client drops the prescribed number of drops into the conjunctival sac
C. The client washes their hands before instilling the drops
D. The client ensures that they touch the administration dropper to the eye

Correct answer: D

Rationale: Touching the dropper to the eye contaminates it and can lead to infection.

2. A client has AIDS. Which of these findings indicate possible infection?

A. Respirations; 22 breaths per minute
B. Client ambulates 20 feet
C. Purulent drainage
D. Oxygen saturation; 97% on room air

Correct answer: C

Rationale:

3. The client with RA complains of intensely dry eyes. What does the nurse suspect?

A. Systemic sclerosis
B. Sjogren's syndrome
C. Chron's disease
D. Discoid lupus

Correct answer: B

Rationale:

4. 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:

5. What should be done immediately after an ankle injury?

A. Immobilize, heat, compress, and elevate the ankle
B. Rest, ice, compress, and lower the ankle
C. Rest, ice, compress, and elevate the ankle
D. Rest, incubate, confine, and lower the ankle

Correct answer: C

Rationale: The correct answer is C: Rest, ice, compress, and elevate the ankle. After an ankle injury, it is essential to follow the RICE method (Rest, Ice, Compression, Elevation) for immediate treatment. Resting the injured ankle helps prevent further damage, applying ice reduces swelling and pain, compression with a bandage provides support and helps control swelling, and elevating the ankle above heart level reduces swelling by allowing fluid to drain away from the injury site. Choices A, B, and D are incorrect because heating, incubating, or confining the ankle can worsen the injury by increasing swelling and inflammation instead of reducing them.