Nokea
Which of the following is a potential complication following cataract surgery? Select all that apply.
- A. Acute bacterial endophthalmitis.
- B. Retrobulbar hemorrhage.
- C. Rupture of the posterior capsule.
- D. Suprachoroidal hemorrhage.
- E. Vision loss.
Correct Answer: A,B,C,D,E
Rationale: Potential complications after cataract surgery include acute bacterial endophthalmitis (infection), retrobulbar hemorrhage (bleeding behind the eye), rupture of the posterior capsule (lens capsule tear), suprachoroidal hemorrhage (bleeding in the choroid), and vision loss due to these or other complications.
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A client has malignant pleural effusions. The nurse should conduct a focused assessment to determine if the client has which of the following? Select all that apply.
- A. Hiccups.
- B. Weight gain.
- C. Peripheral edema.
- D. Chest pain.
- E. Dyspnea.
- F. Cough.
Correct Answer: D,E,F
Rationale: Chest pain (D), dyspnea (E), and cough (F) are common symptoms of malignant pleural effusions due to fluid accumulation and lung compression.
A client post-hemodialysis reports dizziness. The nurse should:
- A. Check blood pressure.
- B. Administer fluids.
- C. Encourage eating.
- D. Increase dialysis time.
Correct Answer: A
Rationale: Dizziness may indicate hypotension, a common post-dialysis issue.
What is the nurse's best action for a client with a migraine headache?
- A. Administer oxygen.
- B. Provide a quiet, dark environment.
- C. Encourage fluid restriction.
- D. Apply a warm compress.
Correct Answer: B
Rationale: A quiet, dark environment reduces stimuli that exacerbate migraine symptoms.
The nurse is conducting a focused assess of the gastrointestinal system of a client with a burn injury. The nurse should assess the client for:
- A. Paralytic ileus.
- B. Gastric distention.
- C. Hiatal hernia.
- D. Curling's ulcer.
Correct Answer: D
Rationale: Burn injuries increase stress and metabolic demand, predisposing clients to Curling's ulcer, a stress-related gastric ulcer, due to reduced mucosal protection.
The client with acute renal failure asks the nurse for a snack. Because the client's potassium level is elevated, which of the following snacks is most appropriate?
- A. A gelatin dessert.
- B. Yogurt.
- C. An orange.
- D. Peanuts.
Correct Answer: A
Rationale: Gelatin dessert is low in potassium, suitable for a client with hyperkalemia, unlike yogurt, oranges, or peanuts.