Nur 242 exam 5 Questions and Correct
Answers, With Complete Solution Updated
2024.
A client with type 2 diabetes is admitted to the ambulatory surgery unit for
elective cataract surgery. Before surgery the client asks the nurse, "How will my
diabetes be managed while I am here?" Which is the best response by the nurse?
I'm not quite certain I understand what you are asking."
Which explanation would the nurse provide a client who asks what a cataract is?
An opacity of the lens
A client reports feeling nauseated immediately after cataract surgery. Which
action would the nurse take?
Administer the prescribed antiemetic
Which information would the nurse include in postoperative teaching for a client
who had cataract surgery? Select all that apply. One, some, or all responses may
be correct.
Don't blow your nose, avoid bending from the waist
Which client statement indicates that the discharge teaching after a cataract
extraction and an intraocular lens implant is effective?
I should call the clinic if my eye begins to hurt.
Which instruction is important for the nurse to provide to the client after cataract
surgery?
Avoid bending from the waist
Which condition can cause a client severe pain after a cataract extraction?
Hemorrhage into the eye
After cataract surgery, the nurse teaches a client how to self-administer
eyedrops. The nurse would reinforce the use of which technique?
Holding the dropper tip above the conjunctival sac
After cataract surgery, a client reports feeling nauseated. How can the nurse
prevent vomiting?
Administer the prescribed antiemetic medication
Exposure to which element would be the reason for cataracts in a 36-year-old
client who is a glass worker? Select all that apply. One, some, or all responses
may be correct.
Heat, metal powder
Which rationale would the nurse include in teaching a client with glaucoma about
the need for treatment?
Lost vision cannot be restored
Which treatment goal would the nurse emphasize when teaching a client with a
diagnosis of open-angle glaucoma?
Control intraocular pressure
Which information would the nurse include in explaining glaucoma to a client?
,An increase in the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that it is
important to seek treatment for primary open-angle glaucoma (POAG)?
Prevent blindness
While assessing the eyes of a client, a health care provider notices there is an
obstruction to the outflow of aqueous humor. Which additional finding would be
noted to support a diagnosis of glaucoma?
Elevated intraocular pressure
Which medication worsens uncontrolled angle-closure glaucoma when used for
the treatment of generalized anxiety disorder?
Duloxetine
The nurse understands that which second-generation antidepressant can worsen
uncontrolled angle-closure glaucoma?
Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic preparation is
indicated to manage this condition?
Timolol maleate
The nurse concludes that a client with glaucoma needs education when the client
makes which statement?
"Sedatives may increase the pressure in my eye."
Which medication would the nurse anticipate may be prescribed to produce
diuresis and inhibit formation of aqueous humor for a client with glaucoma?
Acetazolamide
Which clinical indicator is the nurse most likely to identify when exploring the
history of a client with open-angle glaucoma?
Impairment of peripheral vision
Which beta-adrenergic blocker is prescribed to clients with glaucoma?
betaxolol
Which medication used in the treatment of clients with glaucoma is a
prostaglandin agonist?
Bimatoprost
Which information would the nurse include about future treatment and
precautions when teaching a client who has glaucoma?
Continuation of therapy for life
A debilitated older client who has glaucoma places great value on independence.
What would the nurse encourage the client to do after discharge from the
hospital?
Self-administer eye medications using appropriate technique
Which finding would the nurse anticipate in the health history of a client who has
open-angle (chronic) glaucoma?
Loss of peripheral vision
Which symptom would the nurse expect the client who has primary open-angle
glaucoma to report?
decreased peripheral vision
, The nurse is providing instructions to a client who has glaucoma. Which
statements by the client indicate that the nurse needs to intervene? Select all that
apply. One, some, or all responses may be correct.
I can lift objects than weight more than 10lbs, I should keep my head in dependent
position
A client with glaucoma is receiving a carbonic anhydrase inhibitor. Which
statement made by the client will require the nurse to notify the primary health
care provider?
"I am allergic to sulfonamides."
Which ophthalmic solution is contraindicated for clients with glaucoma?
Atropine
Which technique used by the nurse demonstrates medication safety and
effectiveness when assisting an older client to instill prescribed eyedrops for
glaucoma? Select all that apply. One, some, or all responses may be correct.
Pressing the inner canthus for 1 to 2 minutes after instillation
An infant exhibits purulent conjunctivitis on the fourth day of life and is brought
to the emergency department. Which is the priority nursing action?
Assessing the infant for signs of pneumonia
macular degeneration
loss of central vision
Which ocular symptom would the nurse expect a client with a diagnosis of dry
age-related macular degeneration to report?
Loss of central vision
Which response reported by an older adult client would the nurse identify as
consistent with the diagnosis of macular degeneration?
I can't see objects in the center of my vision field.
Which instruction would the nurse give to a client with reduced sensory
perception?
Use a bath thermometer
A client on antidepressant therapy develops hyperthermia, seizures, and a heart
rate of 200 beats per minute. Which medication would the nurse suspect is
responsible for the condition?
Sertraline
A 7-year-old child who is taking medication to prevent seizures has been seizure
free for 2 years. The child's parents ask the nurse, "How much longer will my
child need to take the medication?" Which answer will the nurse provide?
"This is usually attempted after 2 years, but medications must be gradually decreased."
The registered nurse (RN) is delegating tasks to the health care team. Which team
member is most likely to achieve an effective outcome in the care of a client who
is bedridden for long periods with seizures?
Licensed practical nurse (LPN)
During a home visit, the nurse discovers that a child in the household who has a
disability has been experiencing seizures. The child's parent appears indifferent
to the child's physical, emotional, or medical needs and seems to provoke seizure
episodes by harsh verbal exchanges with the child. Where would the nurse direct
a referral?
Answers, With Complete Solution Updated
2024.
A client with type 2 diabetes is admitted to the ambulatory surgery unit for
elective cataract surgery. Before surgery the client asks the nurse, "How will my
diabetes be managed while I am here?" Which is the best response by the nurse?
I'm not quite certain I understand what you are asking."
Which explanation would the nurse provide a client who asks what a cataract is?
An opacity of the lens
A client reports feeling nauseated immediately after cataract surgery. Which
action would the nurse take?
Administer the prescribed antiemetic
Which information would the nurse include in postoperative teaching for a client
who had cataract surgery? Select all that apply. One, some, or all responses may
be correct.
Don't blow your nose, avoid bending from the waist
Which client statement indicates that the discharge teaching after a cataract
extraction and an intraocular lens implant is effective?
I should call the clinic if my eye begins to hurt.
Which instruction is important for the nurse to provide to the client after cataract
surgery?
Avoid bending from the waist
Which condition can cause a client severe pain after a cataract extraction?
Hemorrhage into the eye
After cataract surgery, the nurse teaches a client how to self-administer
eyedrops. The nurse would reinforce the use of which technique?
Holding the dropper tip above the conjunctival sac
After cataract surgery, a client reports feeling nauseated. How can the nurse
prevent vomiting?
Administer the prescribed antiemetic medication
Exposure to which element would be the reason for cataracts in a 36-year-old
client who is a glass worker? Select all that apply. One, some, or all responses
may be correct.
Heat, metal powder
Which rationale would the nurse include in teaching a client with glaucoma about
the need for treatment?
Lost vision cannot be restored
Which treatment goal would the nurse emphasize when teaching a client with a
diagnosis of open-angle glaucoma?
Control intraocular pressure
Which information would the nurse include in explaining glaucoma to a client?
,An increase in the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that it is
important to seek treatment for primary open-angle glaucoma (POAG)?
Prevent blindness
While assessing the eyes of a client, a health care provider notices there is an
obstruction to the outflow of aqueous humor. Which additional finding would be
noted to support a diagnosis of glaucoma?
Elevated intraocular pressure
Which medication worsens uncontrolled angle-closure glaucoma when used for
the treatment of generalized anxiety disorder?
Duloxetine
The nurse understands that which second-generation antidepressant can worsen
uncontrolled angle-closure glaucoma?
Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic preparation is
indicated to manage this condition?
Timolol maleate
The nurse concludes that a client with glaucoma needs education when the client
makes which statement?
"Sedatives may increase the pressure in my eye."
Which medication would the nurse anticipate may be prescribed to produce
diuresis and inhibit formation of aqueous humor for a client with glaucoma?
Acetazolamide
Which clinical indicator is the nurse most likely to identify when exploring the
history of a client with open-angle glaucoma?
Impairment of peripheral vision
Which beta-adrenergic blocker is prescribed to clients with glaucoma?
betaxolol
Which medication used in the treatment of clients with glaucoma is a
prostaglandin agonist?
Bimatoprost
Which information would the nurse include about future treatment and
precautions when teaching a client who has glaucoma?
Continuation of therapy for life
A debilitated older client who has glaucoma places great value on independence.
What would the nurse encourage the client to do after discharge from the
hospital?
Self-administer eye medications using appropriate technique
Which finding would the nurse anticipate in the health history of a client who has
open-angle (chronic) glaucoma?
Loss of peripheral vision
Which symptom would the nurse expect the client who has primary open-angle
glaucoma to report?
decreased peripheral vision
, The nurse is providing instructions to a client who has glaucoma. Which
statements by the client indicate that the nurse needs to intervene? Select all that
apply. One, some, or all responses may be correct.
I can lift objects than weight more than 10lbs, I should keep my head in dependent
position
A client with glaucoma is receiving a carbonic anhydrase inhibitor. Which
statement made by the client will require the nurse to notify the primary health
care provider?
"I am allergic to sulfonamides."
Which ophthalmic solution is contraindicated for clients with glaucoma?
Atropine
Which technique used by the nurse demonstrates medication safety and
effectiveness when assisting an older client to instill prescribed eyedrops for
glaucoma? Select all that apply. One, some, or all responses may be correct.
Pressing the inner canthus for 1 to 2 minutes after instillation
An infant exhibits purulent conjunctivitis on the fourth day of life and is brought
to the emergency department. Which is the priority nursing action?
Assessing the infant for signs of pneumonia
macular degeneration
loss of central vision
Which ocular symptom would the nurse expect a client with a diagnosis of dry
age-related macular degeneration to report?
Loss of central vision
Which response reported by an older adult client would the nurse identify as
consistent with the diagnosis of macular degeneration?
I can't see objects in the center of my vision field.
Which instruction would the nurse give to a client with reduced sensory
perception?
Use a bath thermometer
A client on antidepressant therapy develops hyperthermia, seizures, and a heart
rate of 200 beats per minute. Which medication would the nurse suspect is
responsible for the condition?
Sertraline
A 7-year-old child who is taking medication to prevent seizures has been seizure
free for 2 years. The child's parents ask the nurse, "How much longer will my
child need to take the medication?" Which answer will the nurse provide?
"This is usually attempted after 2 years, but medications must be gradually decreased."
The registered nurse (RN) is delegating tasks to the health care team. Which team
member is most likely to achieve an effective outcome in the care of a client who
is bedridden for long periods with seizures?
Licensed practical nurse (LPN)
During a home visit, the nurse discovers that a child in the household who has a
disability has been experiencing seizures. The child's parent appears indifferent
to the child's physical, emotional, or medical needs and seems to provoke seizure
episodes by harsh verbal exchanges with the child. Where would the nurse direct
a referral?
