Several residents of a long-term care facility are receiving eye drops to treat glaucoma. The practical nurse (PN) should caution the unlicensed assistive personnel (UAPS) caring for these clients to observe for which effect because it places the clients at risk for falls?
Conjunctival redness.
Elevated blood pressure.
Pupillary constriction.
Increased heart rate.
The Correct Answer is C
A. Conjunctival redness: Redness of the eyes is a local effect of eye drops and does not significantly affect vision or balance, so it does not increase fall risk.
B. Elevated blood pressure: While systemic absorption of some glaucoma medications can affect blood pressure, this is less common and less directly linked to immediate fall risk than visual changes.
C. Pupillary constriction: Miotic eye drops used for glaucoma cause pupillary constriction, which can impair night vision and depth perception. This visual disturbance increases the risk of falls, making it important for staff to monitor clients closely.
D. Increased heart rate: Certain glaucoma medications may affect heart rate, but this is typically mild. Visual changes, rather than cardiovascular effects, pose the greatest immediate fall risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Hematuria: Hematuria, often described by parents as cola- or tea-colored urine, is the hallmark sign of acute glomerulonephritis. It results from glomerular inflammation that allows red blood cells to leak into the urine. This visible change in urine color commonly prompts parents to seek medical attention.
B. Polydipsia: Increased thirst is more typical of diabetes mellitus or diabetes insipidus, not glomerulonephritis. Children with glomerulonephritis usually experience fluid retention rather than excessive thirst due to reduced kidney filtration and sodium retention.
C. A sore throat: A sore throat often precedes acute glomerulonephritis because the infection is commonly caused by group A beta-hemolytic Streptococcus. However, by the time glomerulonephritis develops, the sore throat has usually resolved, so it is not the primary reason parents seek care.
D. Weight loss: Weight loss is not typical of acute glomerulonephritis; instead, children often present with weight gain from fluid retention. The sudden presence of dark urine and swelling are more likely to alert parents to a kidney problem.
Correct Answer is ["1"]
Explanation
Determine the volume to administer in milliliters (mL).
Prescribed dose = 30 mg
Available concentration = 30 mg per 15 mL
Volume (mL) to administer = (Prescribed dose (mg) / Available concentration (mg)) x Available volume (mL)
= (30 mg / 30 mg) x 15 mL
= 15 mL.
Convert the volume from milliliters (mL) to tablespoons (tbsp).
Conversion factor: 1 tablespoon (tbsp) = 15 mL
Volume (tbsp) = (Volume in mL / Conversion factor)
= (15 mL / 15 mL/tbsp)
= 1 tbsp.
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