Which patient would benefit from the use of lubricant eye ointment?
A patient with chronic viral conjunctivitis
A stroke patient whose right eye does not close fully
A patient with an eye infection after swimming in a pond
A patient who has extended-wear contact lenses in place
The Correct Answer is B
Choice A reason: This is an incorrect choice because a patient with chronic viral conjunctivitis would not benefit from the use of lubricant eye ointment. Conjunctivitis is an inflammation of the conjunctiva, which is the thin membrane that covers the white part of the eye and the inner surface of the eyelid. Viral conjunctivitis is caused by a virus, such as adenovirus or herpes simplex virus, and it can cause redness, itching, burning, tearing, or discharge in the eye. Lubricant eye ointment is a thick, greasy substance that can moisturize and protect the eye, but it can also trap the virus and worsen the infection. The patient with viral conjunctivitis should use artificial tears or saline drops instead, and avoid sharing towels, cosmetics, or eye drops with others.
Choice B reason: This is the correct choice because a stroke patient whose right eye does not close fully would benefit from the use of lubricant eye ointment. A stroke is a sudden interruption of blood flow to the brain, which can cause damage to the brain cells and affect various functions, such as movement, sensation, speech, or vision. A stroke patient whose right eye does not close fully may have facial paralysis or weakness on the right side of the face, which can impair the ability to blink or close the eye. This can cause dryness, irritation, or injury to the eye, especially at night. Lubricant eye ointment can help to keep the eye moist and prevent corneal ulcers or infections. The patient may also need to wear an eye patch or tape the eye shut during sleep.
Choice C reason: This is an incorrect choice because a patient with an eye infection after swimming in a pond would not benefit from the use of lubricant eye ointment. An eye infection is an inflammation or infection of the eye or its structures, such as the cornea, the iris, or the eyelid. Swimming in a pond can expose the eye to various microorganisms, such as bacteria, fungi, or parasites, that can cause eye infections. Some examples are Acanthamoeba keratitis, which is a rare but serious infection of the cornea caused by a parasite, or Pseudomonas aeruginosa, which is a common cause of bacterial conjunctivitis. Lubricant eye ointment is not effective against these microorganisms, and it can also interfere with the penetration of antibiotic or antifungal eye drops. The patient with an eye infection after swimming in a pond should seek medical attention and use the prescribed eye drops as directed.
Choice D reason: This is an incorrect choice because a patient who has extended-wear contact lenses in place would not benefit from the use of lubricant eye ointment. Extended-wear contact lenses are soft lenses that can be worn continuously for up to 30 days and nights, without the need to remove them for cleaning or disinfection. However, extended-wear contact lenses can increase the risk of eye infections, such as bacterial or fungal keratitis, which can cause severe pain, redness, blurred vision, or sensitivity to light. Lubricant eye ointment is not compatible with contact lenses, and it can damage the lens material or cause deposits or cloudiness on the lens. The patient who has extended-wear contact lenses in place should follow the instructions of the eye care provider and remove the lenses immediately if any signs of infection or irritation occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is an incorrect choice because health-seeking behaviors related to expressed desire for better sleep is not the highest priority nursing diagnosis for a patient who is starting CPAP therapy for sleep apnea. Health-seeking behaviors are actions that a person takes to improve their health and well-being. However, this is not the most urgent or life-threatening problem for the patient, as it does not pose an immediate risk of harm or injury.
Choice B reason: This is an incorrect choice because impaired bed mobility related to presence of CPAP mask on face is not the highest priority nursing diagnosis for a patient who is starting CPAP therapy for sleep apnea. Impaired bed mobility is the limitation of the patient's ability to move in bed. However, this is not the most urgent or life-threatening problem for the patient, as it does not cause an immediate risk of harm or injury.
Choice C reason: This is an incorrect choice because risk for impaired skin integrity related to tight-fitting mask on face is not the highest priority nursing diagnosis for a patient who is starting CPAP therapy for sleep apnea. Risk for impaired skin integrity is the potential for the patient's skin to be damaged or broken. However, this is not the most urgent or life-threatening problem for the patient, as it does not cause an immediate risk of harm or injury.
Choice D reason: This is the correct choice because risk for powerlessness related to inability to breathe regularly during sleep is the highest priority nursing diagnosis for a patient who is starting CPAP therapy for sleep apnea. Risk for powerlessness is the potential for the patient to feel a loss of control or self-efficacy. This is the most urgent and life-threatening problem for the patient, as it can result in psychological distress, anxiety, depression, or hopelessness.
Correct Answer is C
Explanation
Choice A reason: This is an incorrect choice because using empathy is not the correct term for the nursing action of deciding that a nonverbal patient who just had surgery is in pain and administering an analgesic, based on the observation that the patient moans with position changes, the hands are clenched, and the skin is very sweaty. Empathy is a communication technique that involves understanding and sharing the feelings of another person. However, it is not the term that describes the cognitive process of drawing conclusions from the available data.
Choice B reason: This is an incorrect choice because setting priorities is not the correct term for the nursing action of deciding that a nonverbal patient who just had surgery is in pain and administering an analgesic, based on the observation that the patient moans with position changes, the hands are clenched, and the skin is very sweaty. Setting priorities is a nursing skill that involves determining the order of importance of the patient's problems and interventions. However, it is not the term that describes the cognitive process of drawing conclusions from the available data.
Choice C reason: This is the correct choice because making inferences is the correct term for the nursing action of deciding that a nonverbal patient who just had surgery is in pain and administering an analgesic, based on the observation that the patient moans with position changes, the hands are clenched, and the skin is very sweaty. Making inferences is a critical thinking skill that involves reaching a logical judgment or assumption based on the available data and evidence. The nurse makes an inference that the patient is in pain based on the patient's nonverbal cues and the fact that the patient just had surgery.
Choice D reason: This is an incorrect choice because recognizing inconsistencies is not the correct term for the nursing action of deciding that a nonverbal patient who just had surgery is in pain and administering an analgesic, based on the observation that the patient moans with position changes, the hands are clenched, and the skin is very sweaty. Recognizing inconsistencies is a critical thinking skill that involves identifying discrepancies or contradictions in the data or information. However, it is not the term that describes the cognitive process of drawing conclusions from the available data.
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