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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: This is an incorrect choice because the patient has a history of noncompliance with prescribed therapeutic regimens is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The patient's history of noncompliance is not related to the nature of the problem or the type of intervention required.

Choice B reason: This is an incorrect choice because the patient must be closely monitored in an intensive care unit is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The patient's need for close monitoring is not related to the nature of the problem or the type of intervention required.

Choice C reason: This is an incorrect choice because prevention of septic shock is not a measurable patient outcome is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The measurability of the patient outcome is not related to the nature of the problem or the type of intervention required.

Choice D reason: This is the correct choice because both nursing and physician-prescribed interventions are required is a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The problem of septic shock is a complex and life-threatening condition that involves multiple organ systems and requires both medical and nursing interventions to prevent, treat, and monitor the patient's status.

A. The PCA will give additional pain medication whenever the button is pushed. B. The PCA will deliver medication through the IV until the pain is all gone. C. You or a designated family member are the only one who gets to push the PCA button-nobody else may do so. D. Wait until the pain becomes severe before pushing the PCA button.

Correct Answer is C

Explanation

Choice A reason: This is incorrect. The PCA will not give additional pain medication whenever the button is pushed. The PCA is programmed to deliver a specific dose of pain medication at a specific interval. If the button is pushed before the interval is over, the PCA will not release any medication. This is to prevent overdose and side effects.

Choice B reason: This is incorrect. The PCA will not deliver medication through the IV until the pain is all gone. The PCA is designed to provide pain relief, not pain elimination. The PCA has a limit on how much medication it can deliver in a certain period of time. The patient may still have some pain even after using the PCA.

Choice C reason: This is correct. You or a designated family member are the only one who gets to push the PCA button-nobody else may do so. The PCA is intended to give the patient control over their pain management. The patient should push the button when they feel pain, not when someone else thinks they need it. Allowing others to push the button can lead to under- or over-medication, which can be harmful.

Choice D reason: This is incorrect. Wait until the pain becomes severe before pushing the PCA button is not a good instruction. The PCA is more effective when the patient pushes the button before the pain becomes too intense. Waiting too long can make the pain harder to control and require more medication. The patient should use the PCA as needed to keep the pain at a tolerable level..

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Which patient would benefit from the use of lubricant eye ointment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with sepsis. The nurse includes potential complication: septic shock in the plan of care. Why is this nursing diagnosis considered to be a collaborative problem?

Correct Answer is D

Explanation

Which instruction will the nurse give to the patient about proper use of patient-controlled analgesia (PCA)?

Correct Answer is C

Explanation

Which instruction will the nurse give to the patient about proper use of patient-controlled analgesia (PCA)?

Which assessment finding leads the nurse to add risk for poisoning to the patient’s care plan?

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Once a week, staff members from all the disciplines caring for the trauma patients get together to discuss their progress. Which term best describes this patient care action?

What 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?

Which actions by the nurse are examples of dependent nursing interventions for a postoperative patient? (Select all that apply).

The nurse is having difficulty hearing his patient’s apical pulse with his stethoscope. Which action will help the nurse hear the heartbeat more clearly?

Which is an example of nociceptive pain?