The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?
A cool, humidified air.
A quiet, restful environment.
A dimly lit room.
A warm room temperature.
The Correct Answer is C
Choice A reason: A cool, humidified air is not relevant for this client, as it does not affect the eyes or vision. A cool, humidified air may be beneficial for clients with respiratory conditions, such as asthma or bronchitis.
Choice B reason: A quiet, restful environment is not specific for this client, as it does not address the effects of mydriatic medication on the eyes or vision. A quiet, restful environment may be helpful for clients with stress, anxiety, or insomnia.
Choice C reason: A dimly lit room is the best environment for this client, as it reduces the glare and discomfort caused by mydriatic medication. Mydriatic medication is a type of eye drop that dilates the pupils and prevents them from constricting in response to light. This can improve the examination of the retina and optic nerve, but it also makes the eyes more sensitive to light and reduces the ability to focus on near objects.
Choice D reason: A warm room temperature is not necessary for this client, as it does not affect the eyes or vision. A warm room temperature may be comfortable for clients with cold intolerance, such as hypothyroidism or Raynaud's phenomenon.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Peripheral edema is not a common side effect of atorvastatin, and it is not related to increased CK levels. CK is an enzyme that is released when muscle tissue is damaged. Peripheral edema is more likely to be caused by heart failure, kidney disease, or venous insufficiency.
Choice B reason: Muscle tenderness is a sign of myopathy, which is a rare but serious adverse effect of atorvastatin. Myopathy is a condition where muscle fibers are damaged and inflamed, leading to muscle weakness and pain. Increased CK levels indicate muscle injury and can be a marker of myopathy. The nurse should monitor the client for muscle symptoms and report them to the prescriber.
Choice C reason: Nausea and vomiting are common gastrointestinal side effects of atorvastatin, but they are not associated with increased CK levels. Nausea and vomiting can be managed by taking the medication with food or reducing the dose.
Choice D reason: Excessive bruising is not a typical side effect of atorvastatin, and it is not linked to increased CK levels. Excessive bruising can be caused by bleeding disorders, anticoagulant therapy, or trauma. The nurse should assess the client for other signs of bleeding, such as hematuria, hematemesis, or melena.
Correct Answer is D
Explanation
Choice A reason: Hypertension is not a typical sign of an allergic reaction to piperacillin-tazobactam, which is an antibiotic. It may be caused by other factors, such as pain, anxiety, or renal impairment. The nurse should monitor the client's blood pressure and report any abnormal findings.
Choice B reason: Bradycardia is not a common or serious side effect of piperacillin-tazobactam. It may be related to other medications, such as beta-blockers, or underlying cardiac conditions. The nurse should check the client's pulse and rhythm and report any changes.
Choice C reason: Pupillary constriction is not associated with piperacillin-tazobactam or an allergic reaction. It may be caused by other drugs, such as opioids, or neurological disorders. The nurse should assess the client's level of consciousness and pupillary response.
Choice D reason: Scratchy throat is a possible sign of anaphylaxis, which is a severe and potentially fatal allergic reaction to piperacillin-tazobactam or any other drug. Other symptoms may include hives, swelling, wheezing, or hypotension. The nurse should stop the infusion immediately and call for help.
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