About conjunctivitisConjunctivitis is inflammation of the lining of the eye over the eyeball and inside the eyelids. Show
Infection by bacteria or a virus can cause conjunctivitis. Infection happens easily, especially if the eye is already irritated. Sometimes children might develop conjunctivitis as part of a cold. Viral conjunctivitis is very contagious, but bacterial conjunctivitis isn’t as contagious. Conjunctivitis can also be caused by an allergic reaction. Allergic conjunctivitis isn’t contagious. Conjunctivitis is very common. Conjunctivitis symptomsThe whites of your child’s eye will be red. The eye will also be watery, sore or itchy. Sometimes there’ll be a yellow or green sticky discharge in your child’s eye, which makes the lids stick together after your child has been asleep. The skin around the eyes might look puffy. In bacterial or viral conjunctivitis, one or both eyes might be affected. In allergic conjunctivitis, both your child’s eyes will feel itchy and watery. Your child might also have hay fever symptoms, like an itchy nose and sneezing. Does your child need to see a doctor about conjunctivitis?It’s a good idea to see your GP whenever you think your child has an eye infection. You should definitely take your child to the GP if the following happens:
Conjunctivitis treatmentStart by keeping your child’s eye clean. Wash the eye gently several times a day with cotton wool soaked in warm water. Fresh water from a tap is OK to use. You don’t need to boil or add salt to the water. Your GP will let you know about the right treatment for your child’s conjunctivitis. If the GP thinks the infection is caused by bacteria, the GP might suggest doing an eye swab to find out what bacteria it is. The GP might prescribe antibiotic eye drops or ointment for several days. It can sometimes be tricky to get these into and around your child’s eye. It might be good to get some help with this. Your GP or child and family health nurse might have some tips to make it easier too. It’s important to keep giving your child the medication for several days after the symptoms have cleared up. If your child has allergic conjunctivitis, your doctor might recommend antihistamine eye drops. Your child might also have some tests to find out what their allergic trigger is. If possible, your child should avoid allergic triggers in the future. To stop the spread of viral or bacterial conjunctivitis, always wash your hands after touching your child’s eyes, and give your child a separate towel to use. Wash your child’s hands often, and try to stop your child from rubbing their eyes. Keep your child home from child care, preschool or school until the eye discharge has cleared up completely. ATI - Test 4 Practice Assessment A nurse has a prescription to administer an adult client penicillin that is to be given intramuscularly. Which of the following angles should the nurse use for the injection into the ventrogluteal muscle? A. 45º angle ATI - Test 4 Practice Assessment Before administering a medication to a client, the nurse needs to identify the client. Which of the following methods of identification should the nurse perform? A. Ask the client's full name and date of birth. A. Ask the client's full name and date of birth. Rationale: ATI - Test 4 Practice Assessment A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which of the following? A. Move the decimal point 3 places to the right. A. Move the decimal point 3 places to the right. ATI - Test 4 Practice Assessment A nurse has received a new order. The order reads amoxicillin 250 mg PO q8h. The pharmacy has 125 mg chewable amoxicillin tablets in stocks. How many tablets should the nurse administer? A. 1/2 tablet C. 2 tablets Rationale: ATI - Test 4 Practice Assessment A nurse is preparing to administer ofloxacin drops (Floxin) to an adult client. Which of the following actions should the nurse take? A. Hold the dropper against the ear canal and drip the medication slowly down the
canal. B. Apply gentle pressure with a finger to the tragus of the ear. ATI - Test 4 Practice Assessment A nurse receives a new prescription from the provider which reads "give 14 units of regular insulin and 28 units of long-acting insulin to be given subcutaneously at the breakfast hour." What is the total number of units of insulin the nurse will prepare in the insulin syringe? A. 14 units ATI - Test 4 Practice Assessment A provider prescribes 2 g of a medication to give to a client in eight divided doses over the next 24h. How many mg should the nurse administer for each dose? __________ ATI - Test 4 Practice Assessment A nurse is caring for an infant who is prescribed amoxicillin (Amoxil) 320 mg PO q12h. The medication is available as 400 mg/5 mL. How many mL will the nurse __________ mL ATI - Test 4 Practice Assessment A nurse is caring for a client. The client states, "I don't want to take any medication." Which of the following actions should the nurse take? A. Tell the client the physician wants the client to take the medicine. D. Document that the client refuses the medication. ATI - Test 4 Practice Assessment The nurse is preparing a medication and observes the date of expiration on the vial occurred two months ago. Which action should the nurse perform? A. Give the medication. D. Return the medication to the pharmacy. ATI - Test 4 Practice Assessment A client is about to start using gentamicin (Garamycin) ointment to treat a serious skin infection. Which of the following instructions should the nurse reinforce when talking with the client about using the preparation? A. "I'll wash the area with soap and water before I apply the cream." A. "I'll wash the area with soap and water before I apply the cream." ATI - Test 4 Practice Assessment A nurse is preparing to administer aspirin gr 10 PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number) _________ ATI - Test 4 Practice Assessment A nurse suspects that another nurse on the unit is removing a small amount of morphine sulfate from the syringe before administering the medication to the client. Which of the following actions by the nurse is appropriate? A. Inform the nurse manager about her suspicions. A. Inform the nurse manager about her suspicions. ATI - Test 4 Practice Assessment A nurse is preparing to administer digoxin (Lanoxin) 0.25 mg PO. Available is digoxin 0.125 mg tablets. How many tablets
should the nurse administer to the client? (Round to the nearest whole number.) ATI - Test 4 Practice Assessment A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer to the client? (Round to the nearest tenth.)
ATI - Test 4 Practice Assessment A nurse is preparing to administer medications to an older adult client who had a cerebrovacsular accident (CVA) and has difficulty swallowing medications. The client asks teh nurse if the prescribed enteric-coated aspirin (Ecotrin) can be crushed to make it easier to swallow. Which of the following would be an appropriate response by the nurse? A. "That would release all the medication at once, rather than over time." C. "If I crush it you may experience a stomach ache or indigestion." ATI - Test 4 Practice Assessment A nurse is preparing to administer ear drops to a 2-year-old toddler who has an ear infection. Which of the following techniques should the nurse use when instilling the medication? A. Pull the child's ear auricle upward and outward. B. Pull the child's ear auricle down and backward. ATI - Test 4 Practice Assessment A nurse is planning to administer a nicotine transdermal patch (Nicoderm) to a female client who is trying to quit smoking. Which of the following actions should the nurse plan to include? A. Wear sterile gloves when applying the patch. C. Date, time, and initial the patch before applying to the client. ATI - Test 4 Practice Assessment A nurse is preparing a client's evening dose of resperidone (Risperdal) 2 mg when the tablet falls on the countertop. Which of the following interventions is appropriate? A. Pick the tablet up from the counter using clean gloves. C. Discard the tablet and obtain another dose of medication. ATI - Test 4 Practice Assessment A nurse is caring for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse recommend for inclusion in the plan of care? A. Apply a heat lamp twice a day. B. Cleanse with saline solution. Rationale: ATI - Test 4 Practice Assessment A nurse is preparing to administer potassium chloride (KCL). The provider prescribes potassium chloride (KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. Which of the following should the nurse administer? A. 1 mL ATI - Test 4 Practice Assessment A nurse is caring for a surgical client and accidentally sticks her hand with the needle used to administer the client's pain medication. Which of the following actions should the nurse take first? A. Wash with soap and rinse under water. A. Wash with soap and rinse under water. ATI - Test 4 Practice Assessment A nurse is must administer levothyroxine (Synthroid) 100 mcg to a client. The computerized medication delivery system on the unit supplies individually dispensed pills labeled "Synthroid 0.2 mg." how many pills should the nurse dispense to the client. A. 0.2 pills ATI - Test 4 Practice Assessment A nurse is preparing to administer an ophthalmic solution to a client. Which of the following is an appropriate action by the nurse? A. Instill the drops into the inner canthus. C. Hold the ophthalmic solution 2 cm (3/4 in) above the lower conjunctival sac. ATI - Test 4 Practice Assessment A nurse is completing a client's history and physical examination. Which information should the nurse consider subjective data? A. Blood
pressure C. Nausea Rationale: ATI - Test 4 Practice Assessment A nurse is preparing to administer pain medication to a client. The provider's order is for meperidine (Demerol) 35 mg IM q6h PRN for pain. The available vial contains 75 mg/mL. How many mLs should the nurse administer? (Round to the nearest hundredth.) ________mL ATI - Test 4 Practice Assessment A nurse's inadvertent medication error results in a severe allergic reactions and prolonged hospitalization. The client could rightfully sue the nurse for which of the following? A. Malpractice ATI - Test 4 Practice Assessment The nurse is planning to administer ear drops to an adult client. Which is the correct method for the nurse to do it? A. The ear lobe is pulled down and forward B. The auricle is pulled up and back ATI - Test 4 Practice Assessment A nurse is instilling ear drops to a young child and must straighten the ear canal by pulling the auricle of the ear. The nurse will pull the auricle in which directions? A. Down and backward. ATI - Test 4 Practice Assessment A nurse is preparing an injection using a single dose glass ampule. which of the following techniques should the nurse use when opening the glass ampule? A. Wear sterile gloves and break off the neck of the glass ampule with a single snap to
the right side. D. Tap the top of the ampule, place a gauze pad or unwrapped alcohol swap around the ampule neck, and break off the top with a forward motion away from the hands. ATI - Test 4 Practice Assessment A nurse is collecting subjective and objective data about a toddler who has otitis media. The nurse's observation of this child are likely to include A. tugging on the affected ear's lob. A. tugging on the affected ear's lob. ATI - Test 4 Practice Assessment A nurse is creating discharge planning. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented? A. "I will begin 48h before discharge." C. "I will begin upon the patient's admission to the facility." ATI - Test 4 Practice Assessment A nurse is caring for an older adult client who has several medications prescribed and expresses reluctance to take them because of difficulty swallowing. Which strategy should the nurse use for this client? A. Crush the medications
and mix them with soft foods. A. Crush the medications and mix them with soft foods. ATI - Test 4 Practice Assessment A nurse is caring for a client and promotes the nurse-client relationship by asking the client to share personal stories. Which type of intervention is the nurse using? A. Symbolic communication ATI - Test 4 Practice Assessment The nurse is to administer rectal suppository to a client. The nurse should instruct the client to lie in which of the following positions while in bed? A. Sim's position A. Sim's position Rationale: ATI - Test 4 Practice Assessment A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure? A. Pull the skin 1.3 cm (1/2 inch) to the side. D. Aspirate for 5 to 10 seconds. Rationale: ATI - Test 4 Practice Assessment A nurse is preparing to administer a flu vaccine, which of the following techniques should the nurse use to locate the deltoid muscle? A. By locating the center of the arm between the elbow and the shoulder. D. By palpating the lower edge of the acromion process and measuring 4 finger-widths below to the midpoint and center of the lateral aspect of the upper arm. ATI - Test 4 Practice Assessment A nurse is caring for a client who is requesting prescription pain medication. Which of the following actions should the nurse perform first? A. Reposition the client. C. Determine the location of the pain. Rationale: ATI - Test 4 Practice Assessment A nurse is preparing to administer heparin subcutaneously to a client. Which of the following techniques should the nurse use? A. Cleanse the skin with an alcohol swab, insert the needle, and aspirate and inject the heparin. C. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding. ATI - Test 4 Practice Assessment A nurse is preparing to administer an enema when the client states, "My doctor didn't tell me I was supposed to receive an enema." Which of the following actions is appropriate for the nurse to take? A. Inform the charge nurse that the client refused the enema. D. Check the client's chart for the provider's prescription. ATI - Test 4 Practice Assessment When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. The nurse calls the provider but he is unavailable for several days. Which of the following actions should the nurse take? A. Contact the pharmacy and confirm the dosage is safe to administer. C. Request to speak with the provider who is covering for the prescriber. ATI - Test 4 Practice Assessment A nurse is preparing to administer a pre-packaged medication to a client and complete the final medication check. Which of the following is an appropriate action by the nurse? Check the medication A. at the client's bedside before administration. A. at the client's bedside before administration. ATI - Test 4 Practice Assessment When administering a liquid medication to a 10-month-old infant who is crying, which of the following approaches by the nurse minimizes the possibility of aspiration? A. Mix the medication in a bottle with the infants regular formula and administer. C. Administer the medication with a needless syringe placed in the buccal pouch. ATI - Test 4 Practice Assessment A nurse is caring for a client with bacterial conjunctivitis of the right eye, for which an antibiotic ointment has been prescribed. Which of the following is an appropriate statement by the nurse? A. "When washing your face, wash the infected eye first." B. "Apply the ointment in a thing line into the conjuctival sac." ATI - Test 4 Practice Assessment A nurse is preparing to administer acetaminophen (Tylenol) to a child with a fever. The nurse observes that the client appears small for her age. Which of the following actions should the nurse take? A.
Compare the dose with the calculated dosage range based on the child's weight. A. Compare the dose with the calculated dosage range based on the child's weight. ATI - Test 4 Practice Assessment A client who has a nasogastric tube in place is prescribed a sublingual medication. Which of the following is an appropriate action by the nurse? A. Administer the medication in a liquid form orally. D. Administer the medication under the client's tongue. ATI - Test 4 Practice Assessment A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply) A. Repeat
the order back to the prescriber. A. Repeat the order back to the prescriber. ATI - Test 4 Practice Assessment A nurse is reinforcing teaching with a client who is being discharged following an episode of status asthmaticus. The client has a prescription for two inhalations, four times a day from an albuterol (Proventil) metered-dose inhaler. The nurse determines that the client understands the teaching when the client A. exhales as the medication is released from the inhaler. C. holds his breath at least 10 seconds after inhaling the medication. ATI - Test 4 Practice Assessment A nurse is preparing to administer amoxicillin (Amoxil) 300 mg PO. Available is 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.) _______mL ATI - Test 4 Practice Assessment A nurse is preparing to administer amoxicillin (Amoxil) 350 mg PO. Available is 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.) _______mL ATI - Test 4 Practice Assessment A nurse is administering morning medications and realizes that nifedipine (Procardia) was administered to the wrong client. Which of the following is the priority nursing action? A.
Check the client's vital signs. A. Check the client's vital signs. ATI - Test 4 Practice Assessment The on-coming nurse arrives for her shift and is asked to count the narcotics with the off-going nurse. The on-coming nurse should be the nurse who does which of the following? A. Visually counts the actual number of the narcotics in the locked narcotic cabinet after the previous nurse leaves the unit. B. Visually counts the actual number of the narcotics that remain in the locked narcotic cabinet before the previous nurse leaves the unit. What should you check before administering eye drops?Make sure that the medication is for ophthalmic use and check the expiration date. Verify the correct eye, medication, dosage, patient, and time. Perform hand hygiene and put on clean gloves.
What nursing considerations are involved in administration of eye drops?When instilling eye drops, the nurse should perform hand hygiene, apply gloves, and check the same rights of medication administration as done with other types of medication. Prior to administration of eye medication, the patient's eyes should be assessed for new or unusual redness or drainage.
What precautions must be taken when administering ophthalmic eye medications?Precautions to avoid contamination. When you administer a product, avoid contact between the tip of the container (dropper, tube, etc.) and your hands, eyes, skin or any other surface.. Close the container immediately after use.. Make sure that the product is not used by anyone else.. Should you wear gloves when administering eye drops?Always put on clean gloves before administering the medication. 5. Remove the lid from the eye drop bottle or eye ointment tube and lay it on a clean surface. It is very important to not let the tip of the dropper or tube touch the client's eye or eyelashes nor your hands or fingers.
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