Place these steps for eye drop administration in the correct order.
- A. Gently press on the lacrimal duct for 1 minute.
- B. Gently pull downward to expose the lower conjunctival sac.
- C. Have the client gently close the eye and move it around.
- D. Have the client look up while you instill the number of prescribed drops.
Correct Answer: D
Rationale: The correct sequence ensures proper administration of eye drops, starting with positioning the client and ending with pressing the lacrimal duct to prevent systemic absorption.
You may also like to solve these questions
Which of the following is the priority nursing diagnosis?
- A. Risk for Infection related to organisms specific to cat bites
- B. Impaired Skin Integrity related to puncture wounds
- C. Ineffective Health Maintenance related to immunization status
- D. Risk for Impaired Mobility related to potential tendon damage
Correct Answer: A
Rationale: Cat bites carry a high risk of infection due to the bacteria present in their mouths.
What is the nurse’s evaluation of Mr. Singer not testing for proper placement of his nasogastric tube?
- A. Mr. Singer must be stopped before the instillation of the feeding
- B. There is no possibility that the tube will get into Mr. Singer’s trachea
- C. If Mr. Singer shows no breathing difficulties, he can proceed with his feeding
- D. The greatest danger for Mr. Singer is the aspiration of the feeding into his lung
Correct Answer: D
Rationale: Aspiration poses a serious risk if the tube is misplaced.
Tom is diagnosed with an aortic aneurysm. He asks why this did not show up on his annual physical examination. You respond by saying
- A. It did show and your physician did not want to alarm you.
- B. You probably do not remember that your physician told you about your condition.
- C. Aortic aneurysms are asymptomatic.
- D. Aortic aneurysms are always symptomatic.
Correct Answer: C
Rationale: Aortic aneurysms often do not present symptoms until they become large or rupture.
Which task is most appropriate for an LPN/LVN?
- A. Assess immediate emotional state and physical injuries
- B. Collect hair samples, saliva swabs, and scrapings beneath fingernails
- C. Provide emotional support and supportive communication
- D. Ensure that the 'chain of custody' is maintained
Correct Answer: C
Rationale: Providing emotional support is within the scope of an LPN/LVN and does not involve complex legal procedures.
During a family meeting, the patient's father called his son a bum because of his drug use and running afoul of the law. What is the best response?
- A. Anyone can become physiologically and psychologically dependent on drugs, which can result in drug-seeking behaviors that can lead to health, financial, family, and legal problems.
- B. Your son realizes his problem and is trying to change.
- C. Have you thought about going to family therapy?
- D. Have you heard about Nar-Anon or Al-Anon?
Correct Answer: A
Rationale: Educating the family about addiction reduces stigma and promotes understanding.