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 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.

A. Anorexia. B. Felty syndrome. C. Joint deformity. D. Low-grade fever. E. Weight loss.

Correct Answer is ["B","C","E"]

Explanation

Choice A reason: Anorexia is not a hallmark late sign of RA. It may occur early due to systemic inflammation but is less specific in late stages, where joint damage and systemic complications like Felty syndrome dominate.
Choice B reason: Felty syndrome, a late RA complication, involves neutropenia, splenomegaly, and recurrent infections due to chronic immune activation. It occurs in long-standing RA, reflecting severe disease progression, making it a key late finding.
Choice C reason: Joint deformity (e.g., swan-neck, boutonniere) is a classic late RA sign due to chronic synovial inflammation eroding cartilage and bone, causing joint instability and deformation, significantly impacting function in advanced disease.
Choice D reason: Low-grade fever is an early RA symptom due to systemic inflammation but typically diminishes in late stages. Chronic joint damage and systemic complications are more prominent, making fever less characteristic of late RA.
Choice E reason: Weight loss is a late RA sign due to chronic inflammation, increased metabolic demand, and cytokine activity (e.g., TNF-alpha). It reflects disease severity and systemic impact, common in advanced RA with joint destruction.

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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

The nurse assesses a client with long-term rheumatoid arthritis (RA) for late signs and symptoms. Which assessment findings will the nurse document as late signs and symptoms of RA? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

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