The nurse is observing the nursing student caring for the client with an artificial eye. What action by the student nurse would require intervention?

Cleansing the prosthetic eye with normal saline solution

Positioning the client lying down to remove the prosthetic eye

Telling the client to remove the prosthetic eye weekly for cleaning

Drying the prosthetic eye with gauze before reinsertion

Answer and Explanation

The Correct Answer is B

Ocular prosthesis care maintains conjunctival integrity, prevents infection, ensures proper lubrication, and avoids mechanical trauma. Removal is performed upright to reduce aspiration risk, with routine cleaning using isotonic solutions and proper handling to preserve socket health.

Rationale:

A. Cleansing the prosthetic eye with normal saline is appropriate because it is isotonic and nonirritating to ocular tissues. It helps remove debris and secretions. This supports infection prevention and maintains tissue integrity without causing chemical irritation.

B. Positioning the client lying down for prosthetic eye removal is unsafe because it increases aspiration risk if the device slips posteriorly. Proper technique requires an upright position. This incorrect positioning compromises airway safety and increases risk of foreign body aspiration.

C. Instructing the client to remove the prosthetic eye weekly for cleaning is appropriate for routine maintenance. Excessive handling can irritate tissues, so periodic cleaning is sufficient. This promotes socket hygiene and prevents chronic irritation without unnecessary manipulation.

D. Drying the prosthetic eye with gauze before reinsertion is appropriate to enhance grip and prevent slippage during placement. It reduces contamination risk and ensures secure handling. This supports aseptic technique and minimizes device contamination during reinsertion.

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Free Nursing Study Resources

Correct Answer is ["33"]

Explanation

Step 1: Identify formula
gtt/min = (Total volume × Drop factor) ÷ Time (in minutes)

Step 2: Convert time
30 minutes = 30 min

Step 3: Insert values
= (100 × 10) ÷ 30

Step 4: Calculate
= 1000 ÷ 30
= 33.3

Step 5: Round to nearest whole number
= 33 gtt/min

A. "Change is dynamic and at times an unpredictable process" B. "Managing change is the responsibility of nursing administrators" C. "Change is seldom linear and controllable" D. "Change is ever present"

Correct Answer is B

Explanation

Change management in modern healthcare requires a collaborative paradigm where all stakeholders, including frontline clinicians, participate in the transition process. Effective change is driven by shared governance and individual accountability rather than top-down mandates alone. Understanding that every nurse acts as a change agent is fundamental to improving clinical outcomes and ensuring the successful adoption of evidence-based practices within a complex organization.

Rationale:

A. Change in the clinical environment is inherently non-linear and influenced by numerous variables, making it a dynamic process. This statement reflects a mature understanding of complexity theory and the reality that transitions rarely follow a perfectly predictable path. The graduate recognizes that flexibility is essential when navigating systemic shifts in healthcare delivery.

B. This statement requires further learning because managing change is a shared responsibility of all nursing staff, not just administrators. Effective leaders empower frontline nurses to identify inefficiencies and lead unit-based improvements. Viewing change as solely an administrative task leads to resistance and ignores the vital role of the bedside clinician in institutional evolution.

C. Organizational change is seldom a straightforward, controllable event and often involves unintended consequences that require constant reassessment. Recognizing that change lacks a simple cause-and-effect trajectory helps the nurse remain resilient during periods of professional transition. This understanding aligns with contemporary models of organizational behavior and systems thinking.

D. Change is an omnipresent force in healthcare due to rapid advancements in technology, pharmacology, and regulatory standards. Acknowledging that change is a constant variable ensures that the nurse remains prepared for lifelong learning and professional adaptation. This perspective is critical for maintaining clinical competence in an evolving medical landscape.

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The nurse is observing the nursing student caring for the client with an artificial eye. What action by the student nurse would require intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["33"]

Explanation

A senior nurse is discussing expectations regarding change when working in health care to a new nursing graduate. Which statement by the new graduate indicates the need for further learning?

Correct Answer is B

Explanation

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