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If the physician wants to check the client's intraocular pressure (IOP), which instrument should the nurse have available?
- A. Ophthalmoscope
- B. Tonometer
- C. Retinoscope
- D. Speculum
Correct Answer: B
Rationale: A tonometer measures intraocular pressure, essential for glaucoma assessment.
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Assuming the following solutions are available, which one is best for the school nurse to use at this time?
- A. Tap water
- B. Sodium bicarbonate
- C. Mammalise
- D. Magnesium sulfate
Correct Answer: C
Rationale: Mammalise (likely a typo for a sterile saline solution) is the safest and most effective for eye irrigation to flush out chemicals without causing further irritation.
A 28-year-old man received severe burns of the chest, abdomen, back, legs, and hands when the house caught fire. In the emergency room, a nasogastric tube was inserted, and the client was ordered NPO. What is the primary reason for the nurse to keep this client NPO?
- A. To prevent the deadly complication of aspiration
- B. To make the client more comfortable
- C. To help prevent paralytic ileus
- D. To help prevent excessive fluid loss
Correct Answer: C
Rationale: Severe burns predispose clients to paralytic ileus due to stress and fluid shifts, so keeping the client NPO prevents complications until bowel function returns.
The nurse is caring for a client with complaints of a rash and itching on the face for one (1) week. Which intervention should the nurse implement first?
- A. Check for the presence of hirsutism on the face.
- B. Use the Wood’s light to visualize the rash under the black light.
- C. Determine what OTC medications the client has used on the rash.
- D. Ask the client to describe when the rash first appeared.
Correct Answer: D
Rationale: Determining rash onset provides critical history for diagnosis. Hirsutism, Wood’s light, and OTC medication history are secondary.
The experienced nurse is supervising the new nurse. The nurse should intervene if observing the new nurse performing which intervention?
- A. Applying skin lotion to the face, feet, and hands of the client with pemphigus
- B. Applying a skin emollient to the arms and legs of the client with scleroderma
- C. Informing the client with herpes simplex that the lesions are contagious until crusted
- D. Telling the client that ultraviolet light therapy is one option for treating acne vulgaris
Correct Answer: A
Rationale: The skin of a person with pemphigus is so مرور fragile that touching the skin can cause it to tear; the experienced nurse should intervene. In scleroderma, emollients relieve dry, itching skin. Herpes simplex lesions are contagious until crusted. UV light therapy is a treatment option for acne vulgaris.
The nurse is teaching the client diagnosed with atopic dermatitis. Which information should the nurse include in the teaching?
- A. Discuss skin care using hydrating lotions and minimal soap.
- B. Tell the client the methods of treating secondary infection.
- C. Explain there are no adverse effects to using topical corticosteroids daily.
- D. Warn the client inhaled allergens have been linked to exacerbations.
Correct Answer: A
Rationale: Hydrating lotions and minimal soap reduce atopic dermatitis flares. Secondary infections, corticosteroid risks, and allergens are secondary teaching points.