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Question 1 of 5

A client is to be discharged following the removal of a cataract on the right eye. The nurse should tell the client to:

Correct Answer: B

Rationale: Reporting eye pain immediately is critical as it may indicate complications like infection or increased intraocular pressure. The eye shield is typically worn at night or as directed. Using a pillow is not contraindicated. Dark glasses are often recommended to reduce glare.

Question 2 of 5

Which finding by the nurse suggests that the mother is not giving the toddler iron supplements as ordered?

Correct Answer: B

Rationale: Iron supplements typically cause dark or black stools; light brown stools suggest non-compliance with iron supplementation.

Question 3 of 5

Which of the following toys is the most appropriate for a 2-year old with Tetralogy of Fallot?

Correct Answer: C

Rationale: A push-pull toy encourages gentle physical activity suitable for a 2-year-old with Tetralogy of Fallot, who may tire easily. A toy horn requires exertion, a stethoscope is not age-appropriate, and a shape sorter is sedentary.

Question 4 of 5

The nurse is providing teaching to the parents of a 1-year-old who was just prescribed a 10-day course of amoxicillin for acute otitis media. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.

Correct Answer: C, E

Rationale: Returning if no improvement (
C) and hearing screening (E) are appropriate. Decongestants (
A) are not recommended, loose stools (
B) do not warrant stopping, and stopping early (
D) risks resistance.

Question 5 of 5

The nurse is reviewing discharge teaching for a client who had surgical repair of a retinal detachment. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.

Correct Answer: A, B, D

Rationale: Avoiding rubbing (
A), straining (
B), and reporting sudden pain (
D) prevent complications. Flashes (
C) are not expected and require reporting, and eye rest (E) is unnecessary unless specified.

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