ATI Capstone Week 10 Exam | Nurselytic

Correct Answer: A

Rationale:
Correct Answer: A - Administer the medications 5 minutes apart.


Rationale: Timolol and pilocarpine are both used to treat glaucoma, but they work through different mechanisms. Timolol is a beta-blocker that reduces intraocular pressure, while pilocarpine is a cholinergic agent that increases drainage of aqueous humor. Administering these medications 5 minutes apart allows each medication to be absorbed properly and prevents potential interactions between the two drugs. Administering them too close together could lead to decreased efficacy or adverse effects.

Summary of Other

Choices:
B: Administering the medications by touching the tip of the dropper to the sclera of the eye is incorrect as it can introduce bacteria into the eye and increase the risk of infection.
C: Holding pressure on the conjunctival sac for 2 minutes following application of drops is unnecessary and not a standard practice for administering eye drops.
D: It is necessary to remove contact lenses before administering

Correct Answer: 2

Rationale: The correct answer is 2 tablets. Since the doctor ordered 2 gm/day divided into two doses, each dose would be 1 gm. Considering each tablet is 500 mg, 2 tablets would equal 1 gm, fulfilling the doctor's prescription accurately. Other choices are incorrect as they do not match the required dosage of 2 gm/day.

Correct Answer: A

Rationale: The correct answer is A: A phlebotomist who collects blood from clients who have HIV. Phlebotomists are at the greatest risk because they have direct contact with the blood of clients who have HIV, which is a high-risk fluid for HIV transmission. Blood-to-blood contact is a significant mode of HIV transmission. The other choices involve lower-risk activities such as collecting urine samples (low risk for HIV transmission), working as an occupational therapist (minimal risk of exposure to blood or high-risk fluids), and working as a personal trainer (minimal risk of blood exposure).
Therefore, the phlebotomist has the highest risk due to the direct contact with HIV-infected blood.

Correct Answer: D

Rationale: The correct answer is D. The nurse should include in the teaching that without treatment, glaucoma can cause blindness because it is crucial for the client to understand the potential consequences of untreated glaucoma. Glaucoma is a group of eye conditions that can damage the optic nerve and lead to vision loss or blindness if left untreated. By emphasizing this point, the nurse can stress the importance of compliance with treatment to prevent irreversible vision impairment.

The other choices are incorrect:
A: Use of eye drops will improve vision over time - This is incorrect as while eye drops can help manage the condition and prevent further damage, they do not cure glaucoma or improve vision.
B: Double vision is a common symptom of glaucoma - Double vision is not a common symptom of glaucoma. Symptoms typically include gradual loss of peripheral vision.
C: Glaucoma is caused by inadequate production of fluid within the eye - Glaucoma is actually caused by increased pressure in the eye due to fluid

Correct Answer: D

Rationale: The correct answer is D: Avoid reading and writing. Following a detached retinal repair, the client should avoid activities that strain the eyes, such as reading and writing, to prevent increased intraocular pressure and potential damage to the surgical site. Reading and writing can lead to eye strain and may impede the healing process. It is important to limit activities that require intense visual focus to promote optimal recovery. The other choices are incorrect because: A: Ambulating is generally encouraged postoperatively to prevent complications such as blood clots. B: Keeping the eye patch on during the day is crucial for protection and healing. C: Encouraging coughing and deep-breathing is important for lung expansion and preventing respiratory complications.