Nokea
The physician has prescribed Cyclogel (cyclopentolate hydrochloride) drops for a client following a scleral buckling. The nurse knows that the purpose of the medication is to:
- A. Rest the muscles of accommodation
- B. Prevent post-operative infection
- C. Constrict the pupils
- D. Reduce the production of aqueous humor
Correct Answer: A
Rationale: Cyclopentolate is a cycloplegic that paralyzes the ciliary muscle, resting the muscles of accommodation.
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Lochia serosa usually is evident on days 4 to 10 postpartum. When teaching the client about postpartum care, how should the nurse describe lochia serosa?
- A. Dark red discharge with small clots
- B. Yellowish discharge
- C. Pinkish to brownish discharge
- D. Clear watery discharge
Correct Answer: C
Rationale: Lochia serosa, days 4-10 postpartum, is pinkish to brownish (C) due to decreased blood and increased serous fluid. Dark red (A) is lochia rubra, yellowish (B) or clear (D) are not typical.
A client diagnosed with tuberculosis asks the nurse when he can return to work. The nurse should tell the client that:
- A. He can return to work when he has three negative sputum cultures.
- B. He can return to work as soon as he feels well enough.
- C. He can return to work after a week of being on the medication.
- D. He should think about applying for disability because he will no longer be able to work.
Correct Answer: A
Rationale: Three negative sputum cultures indicate the client is no longer contagious, allowing safe return to work after tuberculosis treatment.
A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?
- A. High calorie, high protein, high fat
- B. High calorie, high carbohydrate, low protein
- C. High calorie, low carbohydrate, high fat
- D. High calorie, high protein, low fat
Correct Answer: D
Rationale: A high-calorie, high-protein, low-fat diet helps maintain weight and muscle mass in clients with AIDS while minimizing gastrointestinal complications.
A neonate has severe congenital abnormalities that make death imminent, and the NICU team believes that further attempts at treatment or feeding are not warranted and that palliative care only should be provided. When speaking with the parents about this, which of the following is the best approach?
- A. Tell the parents that the team suggests that all food and treatment will be withheld.
- B. Tell the parents that the team suggests a change in care plan to focus on comfort measures.
- C. Tell the parents that any further efforts at treatment are futile as the infant is dying.
- D. Tell the parents that the best thing is to let nature take its course.
Correct Answer: B
Rationale: Focusing on comfort measures (B) communicates compassionately that palliative care prioritizes the neonate's comfort, aligning with the parents' emotional needs. Withholding food/treatment (A) is harsh, futility (C) is blunt, and letting nature take its course (D) lacks clarity.
The nurse is caring for a client hospitalized with nephotic syndrome. Based on the client's treatment, the nurse should:
- A. Limit the number of visitors
- B. Provide a low-protein diet
- C. Discuss the possibility of dialysis
- D. Offer the client additional fluids
Correct Answer: D
Rationale: Nephrotic syndrome causes fluid retention, but adequate hydration is needed to maintain renal perfusion, so offering additional fluids is appropriate.