Could I run some NCLEX-style questions by this forum?

[x3xsolxdierx3x]

Hello,

My name is Howie....and I'm a Senior nursing student, and a long time member of allnurses.com....

I was wondering if anyone here would mind me running some questions by the forum.... ? My professor gave an assignment with quite a few NCLEX-like questions.....Some of my classmates, and I, have read our Med-Surg inside and out, and, as is custom with NCLEX questions, wev'e narrowed a few questions down to 2 or 3 answers.....

I don't want it to seem like wer'e trying to get the work done for us....wev'e worked very hard....done a ton of reading....and have come up with rationales for why we would pick some of the remaining answers.....

Would anyone here mind if I ran a few questions by the forum? I'm more concerned with the learning experience.....Wer'e just Type-A, OCD nursing students, and we really want to do the best we can on whatever assignments we are given.....

[jjjoy, LPN]

A - definitely the sunglasses... I wondered at the part about operating machinery but if your eyesight is impaired in any way, it's good advice

[x3xsolxdierx3x]

Thank you everyone!

So far, wev'e all been pretty much on the same page.......that's the answer I was leaning towards for the last one......

How abou another one? Here's one that Iv'e narrowed down to A) and C).........

The client is having radiation therapy for a choroidal melanoma. To decrease the possibility of complications of this therapy, the nurse teaches the client:

A) Have your Intraocular pressure measured every year starting at age 40

B) Always wear dark glasses when going out in the sunlight.

C) See your opthalmologist for a complete eye examination yearly

D) Examine the sclera weekly for a bluish tinge.

Iv'e eliminated B) and D).....errr...i think....lol

[leslie :-D]

How abou another one? Here's one that Iv'e narrowed down to A) and C).........

The client is having radiation therapy for a choroidal melanoma. To decrease the possibility of complications of this therapy, the nurse teaches the client:

A) Have your Intraocular pressure measured every year starting at age 40

B) Always wear dark glasses when going out in the sunlight.

C) See your opthalmologist for a complete eye examination yearly

D) Examine the sclera weekly for a bluish tinge.

Iv'e eliminated B) and D).....errr...i think....lol

hmmmm...

my initial (and so far, my only) thought is it would be d- to examine for a bluish tinge.

a or c wouldn't prevent complications for current therapy:

and b would indicate photosensitivity which still, doesn't prevent complications but merely makes the complications/adverse events more comfortable.

and finally, if i remember correctly, a blue sclera is a sign of it thinning...

which would/could happen with rad tx to the eye.

anyways, that would be my answer- d.

leslie

[newtress, LPN]

I definitely agree with Earle58, answer being D. I was an ophthalmic OR tech for seven years prior to NS and you would definitely teach pt to watch for any color change of the sclera as tissue change or damage may have occured from rad tx.

[newtress, LPN]

Ooohh, you know what? How tricky they are these questions. I RE- read the question again. Key component of the question for me is "to decrease complications of this therapy." Simply having the patient observe for a color change to the sclera doesn't decrease a complication of a therapy. Getting radiation tx anywhere would put a pt at risk for photosensitivity and you'd want to protect that eye from UV ray exposure from the sun. That's my rationale for answer B instead of D!

[yann02]

il go for A. :)

[suzanne4, RN]

Please be careful with posting of questions here. Understand that you are wishing help, but they have been written by someone and there is no credit being given to the author. Most are covered under US Copyright Law as well. So this may be something that you are unable to do.

I am also moving this thread to the Student Assistance Forum where it is more appropriate.

Thanks for your understanding.

[Smartferret]

The client tells the nurse that upon waking this morning, the vision in her left eye has decreased to about one fourth of the area she could see the day before. What is the nurse's first priority?

A) Ask the client what prescription and over-the-counter meds she is currently taking.

B) Place the client in the supine position and patch the left eye

C) Document the finding as the only action.

D) Notify the physician.

I would answer B. Any reduction in the size of visual field could indicate a retinal detachment. Placing in a supine position and patching (to discourage eye movement) helps to prevent progression of the detachment. I would then, of course, call the physician. B could prevent further loss of vision, but won't hurt if the problem is something else.

BTW, I was a Certified Ophthalmic Technician for 16 years before NS.

M

[CTstudent]

The client is having radiation therapy for a choroidal melanoma. To decrease the possibility of complications of this therapy, the nurse teaches the client:

A) Have your Intraocular pressure measured every year starting at age 40

B) Always wear dark glasses when going out in the sunlight.

C) See your opthalmologist for a complete eye examination yearly

D) Examine the sclera weekly for a bluish tinge.

Iv'e eliminated B) and D).....errr...i think....lol

I'm going to say "B" because having melanoma and the radiation treatment will have more complications by the sunlight.

[ghillbert, MSN, NP]

The client is having radiation therapy for a choroidal melanoma. To decrease the possibility of complications of this therapy, the nurse teaches the client:

A) Have your Intraocular pressure measured every year starting at age 40

B) Always wear dark glasses when going out in the sunlight.

C) See your opthalmologist for a complete eye examination yearly

D) Examine the sclera weekly for a bluish tinge.

Iv'e eliminated B) and D).....errr...i think....lol

I'm going to say "B" because having melanoma and the radiation treatment will have more complications by the sunlight.

I would go with B. A appears to relate to glaucoma. C is very general about screening, and won't actually reduce complications which is what the question is asking. D is wrong because there is a brown tint from melanin.