Nursing Elites

1. A client who has glaucoma and a new prescription for timolol eyedrops is receiving teaching from a nurse. Which of the following statements indicates an understanding of the teaching?

• A. I will place the eye drops in the center of my eye.
• B. I will place pressure on the corner of my eye after using the drops.
• C. I should expect my tears to turn red after using the drops.
• D. I should expect the drops to appear cloudy.

Correct answer: B

Rationale: The correct answer is B because placing pressure on the corner of the eye after using the drops helps in better absorption. Option A is incorrect because eye drops should be placed in the conjunctival sac, not the center of the eye. Option C is incorrect because tears turning red is not an expected outcome of using timolol eyedrops. Option D is incorrect because timolol eyedrops should not appear cloudy.

2. A school nurse is teaching a parent about absence seizures. What information should be included?

• A. This type of seizure lasts 30 to 60 seconds.
• B. This type of seizure can be mistaken for daydreaming.
• C. The child usually has an aura prior to onset.
• D. This type of seizure has a gradual onset.

Correct answer: B

Rationale: The correct answer is B because absence seizures are brief and can be mistaken for daydreaming. Choice A is incorrect because absence seizures typically last a few seconds, not 30 to 60 seconds. Choice C is incorrect as absence seizures usually occur suddenly without an aura. Choice D is incorrect because absence seizures have a sudden onset, not a gradual one.

3. What is the best way to monitor fluid balance in a patient with kidney disease?

• A. Monitor daily weight
• B. Monitor input and output
• C. Check for edema
• D. Check urine output

Correct answer: A

Rationale: The correct answer is to monitor daily weight. This method is the most accurate way to assess fluid balance in patients with kidney disease. Daily weight monitoring can detect even small changes in fluid balance, such as fluid retention or loss, which may not be evident through other methods. Monitoring input and output (choice B) is also important but may not provide a complete picture of fluid balance as it doesn't consider factors like insensible losses. Checking for edema (choice C) is a sign of fluid retention but may not always be present or may be difficult to assess accurately. Checking urine output (choice D) is important but may not reflect the overall fluid balance status of the patient.

4. A client is being taught about the use of hypnosis during labor. Which of the following statements is appropriate?

• A. Hypnosis focuses on biofeedback as a relaxation technique
• B. Hypnosis promotes increased control of pain perception during contractions
• C. Hypnosis uses therapeutic touch to reduce anxiety during labor
• D. Hypnosis provides instruction to minimize pain

Correct answer: B

Rationale: The correct answer is B because hypnosis during labor aims to increase control over pain perception, helping manage labor pain without the need for medication. Choice A is incorrect as hypnosis doesn't primarily focus on biofeedback. Choice C is incorrect because hypnosis doesn't rely on therapeutic touch. Choice D is incorrect because hypnosis doesn't just provide instructions to minimize pain but rather helps individuals gain control over their pain perception.

5. Which electrolyte imbalance is most concerning in a patient taking digoxin?

• A. Monitor potassium levels
• B. Monitor calcium levels
• C. Monitor sodium levels
• D. Monitor magnesium levels

Correct answer: A

Rationale: The correct answer is to monitor potassium levels. Patients taking digoxin are at risk of developing toxicity due to hypokalemia. Low potassium levels can potentiate the toxic effects of digoxin on the heart, leading to serious arrhythmias. Monitoring calcium levels (Choice B) is not the primary concern in patients taking digoxin. While calcium levels play a role in cardiac function, hypocalcemia is not directly associated with digoxin toxicity. Monitoring sodium levels (Choice C) is important for other conditions but is not the primary concern in a patient taking digoxin. Monitoring magnesium levels (Choice D) is also essential, but hypomagnesemia is not as directly linked to digoxin toxicity as hypokalemia.

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