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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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Correct Answer is D

Explanation

Choice A rationale

Flatulence is not a specific indicator of a serious complication related to a gallstone lodged in the common bile duct.

Choice B rationale

Amber urine is normal and does not indicate a serious complication.

Choice C rationale

Belching is not a specific indicator of a serious complication related to a gallstone lodged in the common bile duct.

Choice D rationale

Yellow sclera indicates jaundice, which is a sign of bile duct obstruction and requires immediate medical attention.

Correct Answer is A

Explanation

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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