The client sustains a contusion of the eyeball following a traumatic injury with a blunt object. Which intervention is initiated immediately? A. Notify the physician. B. Irrigate the eye with cold water. C. Apply ice to the affected eye. D. Accompany the client to the emergency room. Correct… Read More »
A patient is admitted to the emergency department with an overdose of a benzodiazepine. The nurse immediately prepares to administer which of the following antidotes from the emergency drug cart? A. naloxone (Narcan) B. naltrexone (ReVia) C. nalmefene (Revox) D. flumazenil (Romazicon) Correct Answer: D. flumazenil (Romazicon)… Read More »
The client arrives in the emergency room with a penetrating eye injury from wood chips while cutting wood. The nurse assesses the eye and notes a piece of wood protruding from the eye. What is the initial nursing action? A. Remove the piece of wood using a sterile eye clamp. B. Apply an eye patch.… Read More »
Older adults who take long-acting sedatives or hypnotics are likely to experience: A. Hallucinations B. Ataxia C. Alertness D. Dyspnea Correct Answer: B. Ataxia If longer-acting barbiturates are used in older adults, these clients may experience daytime sedation, ataxia, and memory deficits. Long-acting barbiturates have an effect… Read More »
The client arrives in the emergency room after sustaining a chemical eye injury from a splash of battery acid. The initial nursing action is to: A. Begin visual acuity testing. B. Irrigate the eye with sterile normal saline. C. Swab the eye with antibiotic ointment. D. Cover the eye with a pressure patch.… Read More »
Which nursing diagnosis is appropriate for a patient who has received a sedative-hypnotic agent? A. Alteration in tissue perfusion B. Fluid volume excess C. Risk for injury D. Risk for infection Correct Answer: C. Risk for injury Sedative-hypnotics cause CNS depression, putting the patient at risk for… Read More »
The nurse is caring for a client following enucleation. The nurse notes the presence of bright red blood drainage on the dressing. Which nursing action is appropriate? A. Notify the physician. B. Continue to monitor the drainage. C. Document the finding. D. Mark the drainage on the dressing and monitor for… Read More »
A patient is admitted to the emergency department with an overdose of a barbiturate. The nurse immediately prepares to administer which of the following from the emergency drug cart? A. naloxone HCl (Narcan) B. Activated charcoal C. flumazenil (Romazicon) D. Ipecac syrup Correct Answer: B. Activated charcoal… Read More »
When using a Snellen alphabet chart, the nurse records the client’s vision as 20/40. Which of the following statements best describes 20/40 vision? A. The client has alterations in near vision and is legally blind. B. The client can see at 20 feet what the person with normal vision can see at 40 feet. … Read More »
During patient teaching, the nurse explains the difference between a sedative and hypnotic by stating: A. “Sedatives are much stronger than hypnotic drugs and should only be used for short periods of time.” B. “Sedative drugs induce sleep, whereas hypnotic drugs induce a state of hypnosis.” C. “Most drugs produce sedation at… Read More »