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A client receives a prescription for ophthalmic ketorolac. Prior to administering the medication, the nurse should review the medical record for which condition?

A.

Corneal abrasion.

B.

Chemical burn.

C.

Radiation exposure.

D.

Foreign body.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Corneal abrasion is a contraindication for the use of ophthalmic ketorolac. Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can delay healing and increase the risk of further damage to the cornea.

 

Choice B rationale

 

Chemical burns are not a primary contraindication for ophthalmic ketorolac. However, the treatment of chemical burns typically involves other specific interventions, and the use of ketorolac should be carefully considered.

 

Choice C rationale

 

Radiation exposure is not a direct contraindication for the use of ophthalmic ketorolac. The medication is used to reduce inflammation and pain, which may be beneficial in managing symptoms related to radiation exposure.

 

Choice D rationale

 

A foreign body in the eye is not a primary contraindication for ophthalmic ketorolac. However, the foreign body should be removed, and the eye should be thoroughly examined before administering any medication.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Reviewing with the client the need to avoid foods rich in milk and cream is crucial. Dairy products can increase gastric acid secretion, which can exacerbate duodenal ulcers.

Choice B rationale

Suggesting frequent small meals can help reduce discomfort but does not address the issue of dairy products exacerbating the ulcer.

Choice C rationale

Switching to decaffeinated coffee and tea is beneficial but not as critical as avoiding dairy products.

Choice D rationale

Reinforcing teaching by asking the client to list dairy foods does not address the need to avoid these foods.

Correct Answer is A

Explanation

Choice A rationale

Asking the client to describe the pain is the best approach to assess the quality of pain. This allows the nurse to gather detailed information about the pain’s characteristics.

Choice B rationale

Identifying effective pain relief measures is important but does not directly assess the quality of pain.

Choice C rationale

Observing body language and movement can provide clues about pain but is not as effective as directly asking the client to describe the pain.

Choice D rationale

Providing a numeric pain scale helps quantify the pain but does not provide detailed information about the pain’s quality.

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