A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

“Warm the ointment by placing the tube in glass of hot tap water”

"Discard the first bead of ointment before each application."

"Instruct your child to squeeze his eyes shut following application."

"Cleanse the eye with a wet cotton ball in a direction towards the inner canthus before applying the ointment."

Answer and Explanation

The Correct Answer is B

the first bead of ointment may be contaminated with bacteria from the tip of the tube or the surrounding skin. Discarding this initial bead ensures that the subsequent application is sterile and reduces the risk of introducing infection into the eye.

A. Warming the ointment by placing the tube in hot tap water alters the consistency of the ointment and can potentially cause burns to the child's delicate eye tissue.

C. Instructing the child to squeeze his eyes shut following application is not necessary. The eyes should be closed gently

D. Cleansing the eye should be done from the inner corner moving outward

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Correct Answer is C

Explanation

Pancrelipase is an enzyme replacement therapy used in pancreatic enzyme deficiency to aid in the digestion of fats, proteins, and carbohydrates. It improves digestion of fats facilitating absorption and reduced fat content in stool.
A. Decreased watery stools is not a typical effect of pancrelipase.
B. Decreased black tarry stools is not directly related to the action of pancrelipase, as it is more commonly associated with gastrointestinal bleeding.
D. Decreased mucus in stools is not specifically related to the action of pancrelipase.

A. Respiratory rate B. Apical heart rate C. Blood pressure D. Temperature

Correct Answer is A

Explanation

Morphine is an opioid analgesic that can cause respiratory depression especially when given in higher doses or to opioid-naive individuals. It's crucial to assess the client's respiratory rate before administering morphine to ensure that the client's respiratory status is stable. Respiratory depression can manifest as a decreased respiratory rate, shallow breathing, or signs of respiratory distress.
B, C, D- They are important vital signs but respiration takes priority and specific to opioid administration

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A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client Who has a new prescription for pancrelipase to aid in digestion. The nurse should inform the client to expect which of the following gastrointestinal changes?

Correct Answer is C

Explanation

A nurse is caring for a client Who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete Which priority assessment?

Correct Answer is A

Explanation

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