Several residents of a long-term care facility have developed signs and symptoms of viral conjunctivitis. What is the most appropriate action of the nurse who oversees care in the facility?

Correct Answer: D

Rationale: The correct answer is D: Isolate affected residents from residents who have not developed conjunctivitis. This is the most appropriate action to prevent the spread of viral conjunctivitis in a long-term care facility. By isolating affected residents, the nurse can minimize the risk of transmission to other residents. Choice A is incorrect because prophylactic antibiotics are not effective against viral conjunctivitis. Choice B is also incorrect as normal saline does not treat viral conjunctivitis but may provide comfort. Choice C is unnecessary as viral conjunctivitis is typically diagnosed clinically and does not require culture testing.

Correct Answer: C

Rationale: The correct answer is C because reviewing current medications with a pharmacist is crucial in understanding potential threats to vision. Some medications can have side effects that impact eye health. This proactive approach shows an understanding of how medication can affect vision. Choice A is incorrect because while avoiding direct sunlight is important for eye health, it does not address other potential threats. Choice B is incorrect because regular exercise, while beneficial for overall health, does not directly relate to understanding threats to vision. Choice D is incorrect because monitoring blood pressure is important for cardiovascular health but does not specifically address threats to vision.

Correct Answer: B

Rationale: The correct answer is B because assessing and promoting the patient's coping skills is essential in addressing the psychosocial needs of a patient with macular degeneration. By understanding how the patient is coping with the vision loss, the nurse can tailor interventions to support the patient effectively. This approach acknowledges the patient's emotional responses and helps them navigate the challenges associated with the condition. Choice A is incorrect as solely focusing on other senses may not address the psychological impact of vision loss. Choice C is incorrect as it dismisses the significant lifestyle changes the patient may experience. Choice D is incorrect as promoting hope for recovery may not be realistic in the case of irreversible conditions like macular degeneration.

Correct Answer: B

Rationale: The correct answer is B: The patient is likely to experience resolution of conductive hearing loss after the procedure. This information is crucial to include in the preoperative teaching because it directly addresses the patient's expected outcome, providing reassurance and setting appropriate expectations. Stapedectomy with prosthesis insertion is a well-established treatment for otosclerosis-related conductive hearing loss. Choices A, C, and D are incorrect because they either provide misleading information (A, D) or are not directly relevant to the procedure or the patient's immediate postoperative experience (C). It is important to focus on accurate and relevant information to prepare the patient effectively for the upcoming surgery and its expected outcomes.

Correct Answer: B

Rationale: The correct answer is B: Stapes. Otosclerosis is a condition characterized by abnormal bone growth in the middle ear, causing the stapes bone to become fixed in place. This results in hearing loss due to the inability of the stapes to transmit sound vibrations to the inner ear. The malleus (choice A), incus (choice C), and tympanic membrane (choice D) are not primarily affected by otosclerosis. The malleus and incus are located in the middle ear but are not typically affected by otosclerosis. The tympanic membrane is part of the outer ear and is not directly involved in otosclerosis.