Nokea
The nurse is caring for a client with acute angle-closure glaucoma of the right eye. It would be correct to place the client in which position?
- A. Trendelenburg
- B. Supine
- C. Right lateral decubitus with head end elevated
- D. Prone
Correct Answer: B
Rationale: Supine position is appropriate for angle-closure glaucoma to avoid increasing intraocular pressure. Trendelenburg and prone positions may worsen pressure, and right lateral decubitus is not specific to this condition.
You may also like to solve these questions
Which of the following individuals should the nurse consider to have the highest priority for receiving seasonal influenza vaccination?
- A. A 60-year-old man with a hiatal hernia.
- B. A 36-year-old woman with three children.
- C. A 50-year-old woman caring for a spouse with cancer.
- D. A 60-year-old woman with osteoarthritis.
Correct Answer: C
Rationale: The 50-year-old caring for an immunocompromised spouse is the highest priority for influenza vaccination to prevent transmission. Others have lower risk profiles.
A client has recently been diagnosed with type 2 diabetes mellitus and is to take tolbutamide (Orinase). When teaching the client about the drug, the nurse explains that tolbutamide is believed to lower the blood glucose level by which of the following actions?
- A. Potentiating the action of insulin.
- B. Lowering the renal threshold of glucose.
- C. Stimulating insulin release from functioning beta cells in the pancreas.
- D. Combining with glucose to render it inert.
Correct Answer: C
Rationale: Tolbutamide, a sulfonylurea, stimulates insulin release from pancreatic beta cells, helping to lower blood glucose levels in type 2 diabetes.
The nurse is teaching an older adult client with a history of heat exhaustion. Which of the following statements by the client indicates a need for further teaching?
- A. I should take a cool shower after being outdoors in very hot weather.
- B. I can place ice packs on my neck, chest, and stomach after being outdoors in the heat.
- C. I should wear lightweight, light-colored, and loose-fitting clothing when working outside on very hot days.
- D. I should consume water and take my salt tablets when I am outside gardening on very hot days.
Correct Answer: B
Rationale: Using ice packs can cause vasoconstriction or tissue damage and is not recommended for heat exhaustion. Cool showers (A), appropriate clothing (C), and hydration (D) are correct, but salt tablets are unnecessary with adequate diet and hydration.
The nurse should include which of the following instructions when developing a teaching plan for a client who is receiving isoniazid and rifampin (Rifamate) for treatment of tuberculosis?
- A. Take the medication with antacids.
- B. Double the dosage if a drug dose is missed.
- C. Increase intake of dairy products.
- D. Limit alcohol intake.
Correct Answer: D
Rationale: Limiting alcohol intake prevents hepatotoxicity, a risk with isoniazid and rifampin. Antacids may reduce absorption. Doubling doses is dangerous. Dairy intake is unrelated.
The nurse is reviewing a new prescription for amphotericin b. The nurse recognizes that this medication is prescribed to treat
- A. autoimmune infections.
- B. fungal infections.
- C. viral infections.
- D. bacterial infections.
Correct Answer: B
Rationale: Amphotericin B is an antifungal medication used to treat systemic fungal infections. It is not used for autoimmune (A), viral (C), or bacterial (D) infections.