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

{{Correct Ans:- 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

{{Correct Ans:- 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

{{Correct Ans:- 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

{{Correct Ans:- d. Install a raised toilet seat in your bathroom