Pharm - Integumentary system Ch 56-58 ARS

A few months later, it is determined that Jane is not responding to treatment and is now prescribed isotretinoin. Which statement will the nurse unclude when teaching Jane about isotrtinoin therapy? A. "Call your prescriber immediately if you experience any signs of depression" B. "If you become pregnant, the dose of istretinoin will be cut in half" C. "Isotretinoin is administered by subcutaneous injection directly into the acne areas" D. "isotretinoin is should not be used with any form of birth contrtol"

A. "Call your prescriber immediately if you experience any signs of depression"

Which antiglaucoma drug works by increasing the outflow of aqueous humor between the uvea and sclera as well as via the usual exit through the trabecular meshwork? A. Prostaglandins B. Osmotic diuretics C. Carbonic anhydrase inhibitors D. Ophthalmic beta blockers

A. Prostaglandins

After administering an ophthalmic anesthetic drug, which adverse effects does the nurse anticipate as possibly developing in the patient? (Select all that apply.) A. Stinging B. Burning C. Redness D. Lacrimation E. Blurred vision

A. Stinging B. Burning C. Redness D. Lacrimation E. Blurred vision

A woman who is taking isotretinoin calls the office to say that she thinks she may be pregnant. What will the nurse instruct the patient to do first? A. Stop the isotretinoin immediately B. Reduce the dosage of the isotretinoin to every other day C. Switch to tretinoin (retinoic acid) D. Consult an obstetrician

A. Stop the isotretinoin immediately

Which statement about use of corticosteroids for ocular inflammation does the nurse identify as being true? A. They are used during the acute phase of the injury process to prevent fibrosis and scarring, which results in visual impairrment. B. Corticosteroids produce a lesser immunosuppressant effect than the NSAIDs. C. They are used for the treatment of minor abrasions and wounds of the eye. D. Use of corticosteroids for ocular inflammation results in discoloration of the iris.

A. They are used during the acute phase of the injury process to prevent fibrosis and scarring, which results in visual impairrment.

A 2-year-old is seen in the pediatrician's office with a bacterial middle ear infection. Which medication does the nurse anticipate being prescribed for the child? A. amoxicillin B. coric C. carbamide peroxide (debrox) D. Acetasol HC

A. amoxicillin

A 60-year-old male with a history of benign prostatic hypertrophy and hypertension is seen in the Emergency Department because he was trimming his shrubs and got something in his right eye. He complains of a pain rating of 8 on a scale of 1 to 10 in the right eye. Which medication does the nurse anticipate administering via eyedrop to help control the patient's pain? A. tetracaine B. atropine C. morphine D. lidocaine

A. tetracaine

During a regular follow-up visit, Jane points out a sore that she has developed on her mouth. She is diagnosed with herpes simplex. Which medication does the nurse anticipate Jane will receive? A. minconazole (monistat) B. acyclovir (zovirax) C. clotrimazole (lotrimin) D. Anthatlin (anthra-derm)

B. acyclovir (zovirax)

When administering eyedrops for glaucoma, the nurse understands the desired drug effect causes: A. increased IOP B. decreased IOP C. reduced cycloplegia D. decreased inflammation

B. decreased IOP

A foreign particle is removed from the patient's eye. He tells the nurse that he previously forgot to mention that he takes eyedrops for glaucoma. He can't remember the name of the drug, but he knows the eyedrop bottle has a purple lid. The nurse identifies a purple lid as most likely containing which type of antiglaucoma drug? A. direct-acting cholinergic B. sypathomimetics C. prostaglandin agonist D. carbonic anhydrase inhibitor

B. sypathomimetics

Jane is a 17-year-old patient who is being seen in the dermatology clinic for treatment of acne vulgaris. The nurse practitioner prescribes benzoyl peroxide topically four times a day. Jane tells the nurse that she wants take the drug more frequently so the acne will go away quickly. What information will the nurse provide to Jane? A. "Improvement is usually seen in 1 week." B. "If you want faster results, a pill form of benzoyl peroxide will be used." C. "Overuse of this drug can result in painful, reddened skin." D. "Benzoyl peroxide causes the skin to blister or swell to clear the acne."

C. "Overuse of this drug can result in painful, reddened skin."

A patient has an infected stage II pressure ulcer that contains some necrotic tissue and some normal, healing granulation tissue. The patient is taking warfarin (Coumadin). Which product would be most appropriate for wound care? A. sodium hypochlorite (Dakin's solution) B. Hydrogen peroxide C. Collagenase (Santyl) D. Sterile water

C. Collagenase (Santyl)

While administering medications, the nurse finds a patient's eardrops in the medication refrigerator. If the nurse gives the eardrops immediately, what response might the patient have? A. no unusual response B. immediate relief of ear discomfort C. a vestibular-type reaction D. increase ear pain

C. a vestibular-type reaction

Gentle massage of the tragus area of the ear after administering eardrops results in A. decreased absorption of the medication. B. softening of the cerumen in the ear canal. C. increased coverage of the medication in the ear canal. D. reduced pain in the ear.

C. increased coverage of the medication in the ear canal.

When administering eyedrops to a patient, the nurse places the drop A. directly onto the cornea B. in the inner canthus C. into the lower conjunctival sac D. onto the sclera

C. into the lower conjunctival sac

A patient receiving tetrahydrozoline asks how the drug works. The best response by the nurse will include that the drug works by A. pulling fluid from the eye tissue to the bloodstream B. decreasing the amount of fluid produced by the eye. C. promoting vasocontriction of blood vessels in and around the eye. D. causing the pupil to constrict

C. promoting vasocontriction of blood vessels in and around the eye.

When teaching an adult patient about eardrops, which statement will the nurse include? A. "hold your ear down and back to instill the drops" B. "if you feel dizzy after instilling the ear drops. stand up and walk around the room" C. "warm the ear drops up for 30 seconds in the microwave before using them" D. "Lie on the opposite side of that of your affected ear for about 5 minutes after instilling the drug."

D. "Lie on the opposite side of that of your affected ear for about 5 minutes after instilling the drug."

At 1300, the nurse assesses a patient who has hust returned to the oncology unit after receiving radiation therapy. The patient tells the nurse that his skin "burns a little" in the are that was radiated. The nurse notes an order for Biafine topical emulsion. When will the nurse apply the Biafine? A. 1315 B. 1400 C. 1530 D. 1700

D. 1700

The ophthamologist tells the patient that she is going to place a dye onto the patient's eye to help identify the location of the foreign object. Which drug does the nurse anticipate the ophthamologist will use? A. olopatadine (Patanol) B. cromolyn sodium (Crolom) C. tetrahydrozoline D. fluorescein (AK-fluor)

D. fluorescein (AK-fluor)

The nurse is assessing a patient who has been diagnosed with MRSA on the right arm. The nurse anticipates use of which medication to treat MRSA? A. bacitracin B. neomycin C. polymyxin D. mupirocin (bactorban)

D. mupirocin (bactorban)