Nokea
The nurse teaches the client how to instill nose drops. Which of the following techniques is correct?
- A. The client uses sterile technique when handling the dropper.
- B. The client blows the nose gently before instilling drops.
- C. The client uses a new dropper for each instillation.
- D. The client sits in a semi-Fowler's position with the head tilted forward after administration of the drops.
Correct Answer: B
Rationale: Blowing the nose gently before instilling nose drops clears the nasal passages, allowing better medication absorption. Sterile technique is not typically required for home use. Using a new dropper each time is impractical. The head should be tilted back, not forward, after administration to allow the drops to spread.
You may also like to solve these questions
Which of the following clients with burns will most likely require an endotracheal or tracheostomy tube?
- A. Electrical burns of the hands and arms causing arrhythmias.
- B. Thermal burns to the head, face, and airway resulting in hypoxia.
- C. Chemical burns on the chest and abdomen.
- D. Secondhand smoke inhalation.
Correct Answer: B
Rationale: Thermal burns to the head, face, and airway can cause swelling and obstruction, leading to hypoxia and requiring airway management like endotracheal intubation or tracheostomy.
Galactorrhea is caused by overproduction of which hormone?
- A. Prolactin.
- B. Adrenocorticotropic hormone (ACTH).
- C. Growth hormone (GH).
- D. Thyroid-stimulating hormone (TSH).
Correct Answer: A
Rationale: Galactorrhea (inappropriate breast milk production) is caused by excess prolactin, often due to a prolactin-secreting pituitary adenoma.
A client post-ureteroscopy reports burning on urination. The nurse should:
- A. Encourage fluids.
- B. Administer antibiotics.
- C. Apply a heating pad.
- D. Notify the physician.
Correct Answer: A
Rationale: Burning is common post-ureteroscopy; fluids dilute urine, reducing irritation.
Which of the following conditions is the most significant risk factor for the development of type 2 diabetes mellitus?
- A. Cigarette smoking.
- B. High-cholesterol diet.
- C. Obesity.
- D. Hypertension.
Correct Answer: C
Rationale: Obesity is the most significant risk factor for type 2 diabetes due to its impact on insulin resistance.
Which of the following is the most common initial manifestation of acute renal failure?
- A. Dysuria.
- B. Anuria.
- C. Hematuria.
- D. Oliguria.
Correct Answer: D
Rationale: Oliguria, reduced urine output, is the most common initial sign of acute renal failure due to impaired kidney filtration.