A nurse in an emergency department is preparing to perform an ocular irrigation for a client.

Which of the following actions should the nurse plan to take? a.

Assess the client's visual acuity prior to irrigation

b. Have the client turn their head toward the unaffected eye

c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye

d. Perform the irrigation with sterile water for irrigation - answer=d. Perform the irrigation

with sterile water for irrigation

A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr.

The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the

IV pump to administer? Round to near whole number - answer=33 gtt/min

A nurse is providing discharge teaching to a client who has a new prescription for sublingual

nitroglycerin. Which of the following client statements indicates an understanding of the

teaching?

a. I can keep my medications for 1 year before replacing it

b. I should lie down when I take this medication

c. I should discontinue this medication if I develop a headache

d. I can take up to five tablets in 15 minutes before seeking medical attention - answer=b. I

should lie down when I take this medication

A nurse is providing discharge teaching to an older adult client following a left total hip

arthroplasty. Which of the following instructions should the nurse include in the teaching? a.

Clean the incision daily with hydrogen peroxide

b. You can cross your legs the ankles when sitting down

c. You should use an incentive spirometer every 8 hours

d. Install a raised toilet seat in your bathroom - answer=d. Install a raised toilet seat in your

bathroom

A nurse is planning care for a client following a cardiac catheterization. Which of the

following actions should the nurse take?

a. Keep the client on bed rest for 24 hours

b. Limit the client's fluid intake to 1 l per day

c. Maintain the client's affected extremity in extension

d. Change the client's dressing every 8 hour - answer=c. Maintain the client's affected

extremity in extension

A nurse is caring for a client who has a lower extremity fracture and a prescription for

crutches. Which of the following client statements indicates that the client is adapting to their

role change?

a. I will need to have my partner take over shopping for groceries and cooking the meals for

us

b. These crutches will make it impossible to care for my child

c. I feel bad that I have to ask my partner to keep the house clean

d. Its going to be difficult to tell my parents I cant take them to their appointments anymore -