Medical-Surgical: Final Question 1 loaded rationals provided

Question: 1 of 50

1. A nurse in an emergency department is caring for a client who reports developing severe right eye pain

with a gritty sensation while sawing wood. Which of the following actions should the nurse take first?

Instill proparacaine hydrochloride eyedrops.

Perform ocular irrigation of the right eye.

Place the client in a supine position with the head turned toward the affected side.

Ask the client about first aid performed at the scene.

2. A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the

nurse include in the client's plan of care?

Maintain the client's knees and hips in a flexed position.

Apply cold compresses to painful joints.

Withhold opioids until the crisis is resolved.

Encourage increased fluid intake.

3. A nurse is caring for a client who has thrombocytopenia and develops epistaxis. Which of the following actions

should the nurse take?

Have the client gently blow clots from the nose every 5 min.

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