A nurse notices a stringy clear discharge from the patient's eyes. The patient complains of redness as well and teary in the morning. What is the best appropriate intervention for the patient?

Consult with an ophthalmologist

Avoid crowds

Apply cold pack on the eyes

Prepare eye antibiotics

Answer and Explanation

The Correct Answer is D

Rationale:
A. While referral may be appropriate if symptoms persist or worsen, the priority intervention for suspected infectious conjunctivitis is initiating treatment.
B. Avoiding crowds may help reduce spread of infection but does not directly treat the patient’s condition.
C. Cold compresses may relieve discomfort but are supportive only and do not address the underlying infection.
D. The presentation of redness, tearing, and stringy discharge is consistent with bacterial conjunctivitis. The most appropriate intervention is to prepare prescribed antibiotic eye drops or ointment to treat the infection.

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Correct Answer is B

Explanation

Rationale:
A. The dropper should never touch the eye or surrounding tissues, as this contaminates the medication.
B. When more than one type of eye drop is prescribed, they should be administered at least 5 minutes apart to ensure proper absorption and avoid washing the first medication out.
C. The correct technique is to apply gentle pressure to the nasolacrimal duct (inner canthus) for 1–2 minutes to reduce systemic absorption, not the conjunctival sac.
D. Contact lenses should be removed before instilling eye drops to prevent absorption into the lens and ensure proper drug delivery.

A. Administer pain medication. B. Administer IV fluids. C. Clean and dress the wound. D. Administer a tetanus booster.

Correct Answer is B

Explanation

Rationale:
A. Pain control is important, but in the immediate emergency phase of a major burn, airway, breathing, and circulation take priority over comfort measures.
B. A 30% total body surface area (TBSA) burn places the client at high risk for hypovolemic shock due to massive fluid shifts. Initiating IV fluid resuscitation (guided by the Parkland formula) is the priority intervention to maintain circulation and perfusion.
C. Wound care is important but must be delayed until the patient is stabilized hemodynamically.
D. A tetanus booster may be indicated with burn injuries, but it is not the first priority. Circulatory stabilization with fluids must occur first.

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A nurse notices a stringy clear discharge from the patient's eyes. The patient complains of redness as well and teary in the morning. What is the best appropriate intervention for the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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