Which statement by the client diagnosed with viral conjunctivitis indicates that more teaching is necessary? Select all that apply.
I will use a washcloth to clean both my eyes, starting with the infected eye and moving to the uninfected eye.
I will wash my hands frequently.
I can share my pillow with my child.
I do not have to replace my eye makeup.
I can return to work after my symptoms are gone which can take 7 days.
Correct Answer : A,C,D
Choice A rationale
This statement requires correction because cleaning the eyes with a single washcloth starting from the infected eye can easily spread the virus to the uninfected eye. Viral conjunctivitis is highly contagious. The correct technique involves using a clean part of the cloth or a separate cloth for each eye and always wiping from the inner canthus to the outer canthus to prevent cross-contamination between the eyes.
Choice B rationale
Frequent handwashing is an appropriate and essential action to prevent the spread of viral conjunctivitis. This statement does not indicate a need for more teaching. Since the virus is transmitted through contact with eye secretions or contaminated surfaces, maintaining hand hygiene helps protect others in the household and prevents the patient from re-infecting themselves or spreading the virus to other objects or people nearby.
Choice C rationale
This statement indicates a need for more teaching because sharing personal items like pillows, towels, or linens is a primary route for transmitting viral conjunctivitis. The virus can survive on surfaces for significant periods. To prevent the spread of infection to family members, the client should use their own bedding and wash it frequently in hot water to kill any viral particles present.
Choice D rationale
This statement requires further teaching because eye makeup, particularly mascara and eyeliner, becomes contaminated with the virus during use while the infection is active. Continuing to use the same makeup after the infection has cleared can lead to reinfection. Patients should be instructed to discard all eye makeup used during the infection and avoid using new products until the viral shedding has completely ceased.
Choice E rationale
This statement is generally accurate and does not necessarily indicate a need for more teaching in the context of typical viral conjunctivitis. Viral infections of the eye often take about seven to fourteen days to fully resolve, and returning to work or school after the acute symptoms and discharge have disappeared is standard advice. It reflects an understanding of the self-limiting nature of the viral infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Canned split pea soup is extremely high in sodium, which must be restricted in patients with Meniere disease. Excess sodium intake leads to fluid retention throughout the body, including the endolymphatic sac in the inner ear. This increases endolymphatic pressure, potentially triggering an exacerbation of vertigo, tinnitus, and hearing loss. Maintaining a low sodium diet, typically less than 2,000 mg per day, is a cornerstone of managing the fluid balance issues associated with this condition.
Choice B rationale
A baked potato with cheese and bacon contains significant amounts of hidden and added sodium. Bacon is a processed meat cured with salt, and cheese is naturally high in sodium content. For a client with Meniere disease, consuming such a high salt meal can cause a spike in the pressure of the inner ear fluids. These dietary choices are contraindicated because they directly contribute to the endolymphatic hydrops that characterizes the pathophysiology of the frequent dizzy spells.
Choice C rationale
Wine and other alcoholic beverages should be restricted because alcohol can change the fluid transport and concentration in the inner ear. Alcohol consumption can alter the volume and composition of the endolymph, which may aggravate the symptoms of Meniere disease. Additionally, alcohol affects the central nervous system and can worsen the sense of imbalance or dizziness already experienced by these clients. Restricting alcohol helps maintain a stable internal environment within the delicate structures of the vestibular system.
Choice D rationale
Iced coffee contains caffeine, which is a stimulant that can exacerbate the symptoms of Meniere disease. Caffeine has vasoconstrictive properties that can reduce blood flow to the inner ear and may also increase the perceived intensity of tinnitus. By stimulating the nervous system, caffeine can make the symptoms of vertigo more distressing for the patient. Clients are generally advised to eliminate or significantly limit caffeine to help stabilize the fluid dynamics and nerve sensitivity in the ear.
Choice E rationale
Milk is generally permitted in a diet for Meniere disease unless the patient has a specific allergy or intolerance. It provides essential nutrients like calcium and vitamin D without the high sodium levels found in processed foods or the stimulants found in caffeinated beverages. While overall fluid intake should be distributed evenly throughout the day to avoid sudden fluctuations, milk itself is not a primary trigger for endolymphatic hydrops. It is a safer choice compared to caffeinated or high sodium options.
Correct Answer is A
Explanation
Choice A rationale
The Rinne test is a physical assessment tool used to compare air conduction and bone conduction of sound. In a normal result, air conduction should be twice as long as bone conduction. The test involves placing a vibrating tuning fork on the mastoid process until sound is no longer heard, then moving it next to the ear canal. This helps clinicians differentiate between conductive hearing loss and sensorineural hearing loss based on how sound travels.
Choice B rationale
The Weber test does not primarily involve identifying when a sound is no longer heard; that is a component of the Rinne test. Instead, the Weber test is used for lateralization. A vibrating tuning fork is placed in the middle of the forehead or on top of the head to determine if the sound is heard equally in both ears. It identifies whether hearing loss is asymmetrical and helps distinguish which ear has the deficit.
Choice C rationale
Placing a vibrating tuning fork on the top of the head is actually the procedure for the Weber test, not the Rinne test. The Rinne test specifically alternates between the mastoid bone and the space just outside the external auditory meatus. Conflating the two can lead to incorrect documentation of a client's auditory function. Proper placement is essential to accurately assess whether sound vibrations are being transmitted effectively through the various structures of the ear.
Choice D rationale
The Weber test measures the lateralization of sound rather than the specific length of time a sound is heard. Timing the duration of sound perception is the core mechanic of the Rinne test, which tracks how many seconds the client perceives vibrations through bone versus air. The Weber test is a qualitative measure of balance between the two ears, helping to pinpoint if one ear is masking or amplifying the sound unnaturally.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.