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    HESI RN pharmacology proctored exam

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

    Explanation & Rationale

    A. Chemical burn: Ketorolac is an NSAID used to manage pain and inflammation in the eye, but chemical burns require immediate irrigation and specialized treatment rather than simply addressing inflammation. Reviewing for chemical burns is not the key concern before administering ketorolac.B. Foreign body: The presence of a foreign body in the eye would necessitate removal and possibly different treatment approaches. However, ketorolac would not be contraindicated solely because of a foreign body once it is addressed.C. Corneal abrasion: Ketorolac should be used cautiously or avoided if there is a corneal abrasion because it can delay healing and increase the risk of corneal damage. Therefore, reviewing for a history of corneal abrasion is essential before administering this medication.D. Radiation exposure: Radiation exposure to the eye would be managed differently, often requiring other supportive measures. It does not specifically contraindicate the use of ophthalmic ketorolac.

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