Nokea
After cleaning a client's prescription eyeglasses with soap and warm water or a commercial glass cleaner, which nursing action is best for drying the moist lenses?
- A. Rub the lenses with a paper tissue.
- B. Wipe the lenses with a soft cloth.
- C. But the lenses with a paper towel.
- D. Blow on the lenses to promote air drying.
Correct Answer: B
Rationale: A soft cloth prevents scratches and effectively dries the lenses.
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Which response will the nurse most likely observe during the caloric test if the client has Meniere's disease?
- A. Onset of severe symptoms
- B. No response or change in symptoms
- C. Improvement in balance
- D. Aphasia and loss of consciousness
Correct Answer: A
Rationale: Meniere's disease causes an exaggerated response to caloric stimulation.
The nurse is caring for a client one (1) day postoperative for facial reconstruction. Which intervention should the nurse implement?
- A. Provide all activities of daily living.
- B. Allow the client to voice fears and concerns.
- C. Monitor nutritional food and fluid intake.
- D. Assess signs and symptoms of infection.
Correct Answer: D
Rationale: Assessing for infection is critical post-facial reconstruction to prevent complications. ADL provision, voicing concerns, and nutrition are secondary.
An electrician was wearing a glove that had a hole in it when he grabbed a 'hot' wire. His coworkers came to him immediately and called the rescue squad. When the industrial nurse reached him, the electric current had been shut off. What action should the nurse take initially?
- A. Dress the entrance and exit wounds
- B. Check respirations and pulse rate
- C. Remove clothing from the burned area
- D. Roll him in a blanket
Correct Answer: B
Rationale: Checking respirations and pulse rate is the initial action to assess for life-threatening complications, such as cardiac arrhythmias, common in electrical burns.
Which response by the nurse is best in this situation?
- A. Gravity helps to reattach the separated retina.
- B. I'm very small to be a reasonable, and I'm very
- C. I can get you a sedative if it's hard to lie still.
- D. The doctor knows what's best for you, and you should listen.
Correct Answer: A
Rationale: Bed rest uses gravity to aid retinal reattachment.
Which statement by the client diagnosed with chickenpox indicates that the client understands the teaching?
- A. I should put rubbing alcohol on the lesions twice a day.'
- B. I should not scratch myself if at all possible. It might lead to scarring.'
- C. I can go to work when my lesions have all disappeared.'
- D. I need to take all my antibiotics no matter how I feel.'
Correct Answer: B
Rationale: Avoiding scratching prevents scarring and infection in chickenpox. Alcohol is harmful, contagiousness persists post-lesions, and antibiotics are not used.