A nurse is reinforcing teaching with the guardian of a toddler who has conjunctivitis. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will apply the antibiotic ointment in the morning and use the drops at bedtime."
"I will use a separate washcloth to clean the affected eye."
"I will wipe from the outer to inner corners of the eye to remove secretions."
"I will leave a warm, moist compress on the affected eye for 10 minutes."
The Correct Answer is B
A. "I will apply the antibiotic ointment in the morning and use the drops at bedtime." is incorrect. If an antibiotic is prescribed, either drops or ointment are typically used, but not both. Additionally, viral conjunctivitis does not require antibiotics, so treatment depends on the underlying cause.
B. "I will use a separate washcloth to clean the affected eye." is correct. Using a separate washcloth prevents the spread of infection to the unaffected eye or to others. Conjunctivitis is highly contagious, and proper hygiene is essential in preventing its spread.
C. "I will wipe from the outer to inner corners of the eye to remove secretions." is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent spreading debris and infection toward the tear ducts.
D. "I will leave a warm, moist compress on the affected eye for 10 minutes." is incorrect. While warm compresses can help soothe irritation, prolonged moisture can create an environment for bacterial growth. Shorter applications are recommended, and cool compresses may also provide relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Constipation is incorrect. Hypocalcemia is more likely to cause neuromuscular excitability, including muscle spasms and cramps, rather than constipation. Constipation is more commonly associated with hypercalcemia.
B. Elevated blood pressure is incorrect. Hypocalcemia does not typically cause hypertension. Instead, it can lead to hypotension in severe cases.
C. Muscle tremors is correct. Hypocalcemia increases neuromuscular excitability, leading to symptoms such as muscle tremors, cramps, tetany, and positive Chvostek’s and Trousseau’s signs. These symptoms occur due to the role of calcium in nerve conduction and muscle contraction.
D. Tinnitus is incorrect. Hypocalcemia does not typically cause tinnitus (ringing in the ears). Tinnitus is more commonly associated with conditions affecting the auditory system, such as ototoxicity or Ménière’s disease.
Correct Answer is C
Explanation
A. Maintaining continuous cool eye compresses is incorrect. While cool compresses can help relieve discomfort, continuous application is unnecessary. Intermittent warm or cool compresses are more appropriate.
B. Applying antibiotic eye ointment in the morning is incorrect because viral conjunctivitis is caused by a virus, not bacteria, so antibiotics are not effective in treating it.
C. Cleansing the eye by wiping downward outward from the inner canthus is correct. This technique helps prevent the spread of infection and keeps the eye clean by moving debris and discharge away from the tear ducts.
D. Using a corticosteroid ointment until the infection subsides is incorrect because corticosteroids are generally not recommended for viral conjunctivitis. They may suppress the immune response and prolong the infection.
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