What will the nurse teach parents when giving instructions for acute conjunctivitis?

Apply cool compresses to the affected eye several times a day.

Instill topical steroid eye drops for 1 week.

Clear drainage from the inner to the outer aspect of the eye.

Keep the eye patched until the inflammation resolves.

Answer and Explanation

The Correct Answer is C

Choice A reason: Cool compresses may provide comfort but are not a primary treatment for acute conjunctivitis, which is often bacterial or viral. They do not address infection or drainage, the main concerns, and are less critical than proper hygiene techniques.
Choice B reason: Topical steroids are not routinely used for acute conjunctivitis, especially bacterial or viral, as they may worsen infections or delay healing by suppressing immune responses. Antibiotics or antivirals are preferred, making this an incorrect teaching point.
Choice C reason: Clearing drainage from the inner to outer aspect of the eye prevents spreading infection across the eye or to the other eye. This technique maintains hygiene, reducing bacterial or viral load in conjunctivitis, making it the most appropriate instruction.
Choice D reason: Patching the eye is not recommended, as it creates a moist environment that can promote bacterial growth or prolong viral conjunctivitis. It may also cause discomfort and is not a standard management strategy for acute conjunctivitis.

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Correct Answer is A

Explanation

Choice A reason: The forward bend test is the standard for scoliosis screening, revealing spinal asymmetry (rib hump) due to lateral curvature. It detects abnormal spinal alignment in preadolescents, when growth spurts exacerbate scoliosis, allowing early intervention to prevent progression.
Choice B reason: Observing gait (heel-to-toe walking) assesses neurological or musculoskeletal function but not spinal curvature. Scoliosis primarily affects spinal alignment, not gait, unless severe, making this less effective for detecting the lateral curvature characteristic of scoliosis.
Choice C reason: Flexing the knees to check knee height assesses leg length discrepancy, not spinal curvature. Scoliosis involves lateral spinal deviation, and knee height is unrelated to detecting the spinal asymmetry critical for diagnosis.
Choice D reason: Observing shoulders and hips while clothed is less effective, as clothing obscures subtle asymmetries. The forward bend test, performed without clothing, better reveals spinal curvature or rib hump, the hallmark signs of scoliosis in preadolescents.

A. Client with diabetes who has a serum creatinine of 0.8 mg/dL (61 mcmol/L). B. Client who recently fell and has vertebral compression fractures. C. Hypertensive client who takes calcium channel blockers. D. Client with a spinal cord injury who cannot tolerate sitting up.

Correct Answer is D

Explanation

Choice A reason: Bisphosphonates are generally safe for clients with diabetes and normal renal function (serum creatinine 0.8 mg/dL is within normal range, indicating adequate kidney function). These drugs inhibit osteoclast activity, reducing bone resorption, and are not contraindicated in diabetes unless renal impairment is present, which is not the case here.
Choice B reason: Vertebral compression fractures are a common complication of osteoporosis. Bisphosphonates are often prescribed to strengthen bones and prevent further fractures by inhibiting bone resorption. Recent fractures do not contraindicate their use; in fact, they are indicated to improve bone density and reduce future fracture risk.
Choice C reason: Calcium channel blockers, used for hypertension, do not interact significantly with bisphosphonates. These drugs work on different systems—bisphosphonates on bone metabolism and calcium channel blockers on vascular smooth muscle. There is no evidence suggesting this combination poses a risk, making bisphosphonates appropriate for this client.
Choice D reason: Bisphosphonates, especially oral ones, require patients to sit upright for 30–60 minutes post-dose to prevent esophageal irritation and ensure proper absorption. A client with a spinal cord injury unable to tolerate sitting up cannot comply with this requirement, increasing the risk of esophageal damage, making bisphosphonates a poor choice.

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What will the nurse teach parents when giving instructions for acute conjunctivitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?

Correct Answer is A

Explanation

The nurse is caring for several clients with osteoporosis. For which client would bisphosphonates not be a good option?

Correct Answer is D

Explanation

A client who had a surgical fractured femur repair reports new-onset shortness of breath and increased respirations. What is the nurse’s first action?

A nurse cares for a client placed in skeletal traction. The client asks, “What is the primary purpose of this type of traction?” How would the nurse respond?

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A client is getting out of bed into a chair for the first time after an uncemented total hip arthroplasty. What action by the nurse is appropriate?

A nurse is educating a client with osteoporosis about dietary interventions to improve bone health. Which statement by the client indicates a need for further teaching?