Questions 151

NCLEX-RN

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Question 1 of 5

A client who has glaucoma has been prescribed timolol (Timoptic) eyedrops. Which of the following instructions should the nurse give the client about the administration of the eyedrops?

Correct Answer: B

Rationale: Timolol eyedrops may cause transient eye discomfort, such as stinging or burning, which is a common side effect. Instilling drops only when eyes are irritated is incorrect, as timolol requires regular dosing. Refrigeration is not necessary, and reevaluation timing depends on the physician's plan, not a fixed month.

Question 2 of 5

A client with a history of depression is prescribed paroxetine (Paxil). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: B

Rationale: Suicidal thoughts are a serious side effect of paroxetine, requiring immediate reporting to ensure client safety.

Question 3 of 5

A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to take the medication:

Correct Answer: A

Rationale: Alendronate should be taken first thing in the morning with water, on an empty stomach, to maximize absorption and minimize esophageal irritation.

Question 4 of 5

The nurse is caring for a neonate with jaundice receiving phototherapy. Which action is most important?

Correct Answer: A

Rationale: Covering the neonate's eyes protects them from retinal damage due to phototherapy light exposure.

Question 5 of 5

Which of the following techniques is correct when administering a subcutaneous injection?

Correct Answer: B

Rationale: A subcutaneous injection is correctly administered at a 45-degree angle (or 90 degrees for obese patients) using a 5/8-inch needle, pinching the skin, without an air bubble.

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