A client diagnosed with primary open-angle glaucoma received a prescription for miotic eye drops. Which instruction should the nurse plan to include in this client's teaching?

"Wash your hands after each administration of eye drops."

"Squeeze your eye closed after administering the drops."

"Do not allow the dropper bottle to touch the eye."

"Administer the medication directly on the cornea."

Answer and Explanation

The Correct Answer is C

A. "Wash your hands after each administration of eye drops" is important but not specific to the safe administration of miotic eye drops. Washing hands before administration is more relevant to preventing infection.

B. "Squeeze your eye closed after administering the drops" can force the medication out of the eye, reducing its effectiveness. Instead, the client should be instructed to close the eye gently and apply pressure to the inner canthus to prevent systemic absorption.

C. "Do not allow the dropper bottle to touch the eye" is correct because it prevents contamination of the dropper, which could lead to eye infections.

D. "Administer the medication directly on the cornea" is incorrect because eye drops should be placed in the conjunctival sac, not directly on the cornea, to minimize irritation and maximize absorption.

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Correct Answer is C

Explanation

A. Explain that alternative treatment options may be helpful is not appropriate at this moment. The spouse is expressing grief, and the focus should be on emotional support rather than discussing medical treatment options, which may not be relevant to the spouse’s current emotional state.

B. Offer reassurance that the spouse is not alone may provide some comfort but does not address the underlying need for the spouse to express their emotions. It is more important to listen and allow the spouse to share their feelings first.

C. Encourage the spouse to share their feelings is the most appropriate first response. The spouse is expressing emotional distress, and the nurse should offer a safe space for the spouse to talk about their feelings. This approach helps to validate the spouse’s emotions and provides an opportunity for emotional support.

D. Remind the spouse that the client may still live a long time is not appropriate because it could invalidate the spouse’s feelings of loss and grief. The spouse is dealing with the reality of the terminal illness, and the nurse should not offer false hope or minimize the situation.

A. Adjust the flow rate to the prescribed liters per minute. B. Assess the position of the mask on the client's face. C. Attach the flowmeter to a humidification canister. D. Release and reinsert the flowmeter in the wall outlet.

Correct Answer is D

Explanation

A. Adjust the flow rate to the prescribed liters per minute is not the first action to take. The loud hissing sound indicates a potential issue with the connection of the flowmeter, so the nurse should first address that before adjusting the flow rate.

B. Assess the position of the mask on the client's face is important, but the loud hissing sound suggests a problem with the oxygen delivery system rather than with the mask itself. The nurse should check the flowmeter connection first.

C. Attach the flowmeter to a humidification canister is unnecessary unless the prescription specifically includes humidification. The priority is to ensure the flowmeter is properly inserted into the wall outlet and the oxygen system is functioning correctly.

D. Release and reinsert the flowmeter in the wall outlet is the correct action. The loud hissing sound may be caused by an improper or loose connection between the flowmeter and the wall outlet. The nurse should ensure the flowmeter is securely attached to prevent leakage and ensure proper oxygen delivery.

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A client diagnosed with primary open-angle glaucoma received a prescription for miotic eye drops. Which instruction should the nurse plan to include in this client's teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client's spouse has just learned of the client's terminal illness. The spouse is sitting in the corner of the client's room crying, and says to the nurse, "I feel as if I'm already so alone." Which action should the nurse take first?

Correct Answer is C

Explanation

When initiating oxygen per mask to a client who is short of breath, the nurse hears a loud hissing sound after inserting the flowmeter into the wall outlet. Which should the nurse do next?

Correct Answer is D

Explanation

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