HESI Integumentary & Eye Review

Which med would the nurse anticipate may be prescribed to produce diuresis and inhibit formation of aqueous humor for a client w glaucoma? Chlorothiazide Acetazolamide Methazolamide Aclidinium bromide

Acetazolamide

The PCP prescribed meds to 4 clients w osteoporosis. Which client would the nurse instruct to remain upright for 30 min after receiving the med? Alendronate Zoledronic acid Ca supplements Raloxifene

Alendronate

Which info would the nurse include in explaining glaucoma to a client? Increase in the pressure within the eyeball Opacity of the crystalline lens or its capsule A curvature of the cornea that becomes unequal A separation of neural retina from the pigmented retina

An increase in pressure within eyeball

A child is prescribed permethrin 5% cream for scabies. The nurse would instruct the parent to apply the med at which time? Before meal & rinse off in hr Bedtime & wash off next morn After bathing & rinse off after 15 min Each morn for week & wash off on last day

At bedtime and wash off next morn

Client has partial loss of peripheral vision. Eye exam shows intraocular pressure of 24 mm Hg. Which condition would the nurse suspect is causing these findings? Reduced elasticity of lens Unevenness in cornea Excess production of aqueous humor Nontransparent substances in vitreous humor

Excess production of aqueous humor

A postmenopausal woman has been admin raloxifene for osteoporosis. Which parameter would the nurse assess to ensure the efficacy of the med & continuation of use? Body weight Bone density Ca levels in urine Esophageal functioning

Bone density

Which med is derived from a natural sources and may be prescribed for treatment of osteoporosis? Calcitonin Raloxifene Clomiphene Bisphospohonates

Calcitonin

Which outcome does allopurinol produce to prevent acute gouty attacks? Promote uric acid excretion Decrease synovial swelling Decrease uric acid production Prevents crystallization of uric acid

Decrease uric acid production

Which statement made by a client with glaucoma who is receiving a carbonic anhydrase inhibitor will require nurse to notify the PCP? I have asthma I use contact lenses I am allergic to sulfonamides I have been taking phenelzine

I am allergic sulfonamides

Which client statement indicates understanding of the precautions taken during bisphosphonate therapy? Take w large glass of water Take w noon meal Not need to taper off this med I should lie down after taking

Should take w large glass of water

A client is being on bisphosphonates. Which advice will the nurse provide? Take on empty stomach Take at night before bed Meds should be taken w food or milk Lie down for a bit after taking the med

Take it on an empty stomach

Which medication is a beta-adrenergic blocker used to reduce intraocular pressure? Timolol Travoprost Carbachol Apraclonidine

Timolol

Which ophthalmic prep is indicated to manage a client who has primary open-angle glaucoma? Tetracaine Fluorescein Timolol maleate Atropine sulfate

Timolol maleate

Which info would the nurse include about future tx & precautions when teaching a client who has glaucoma? Avoidance of cholinergics Sx replacement of lens Continuation of therapy for life Prevention of HBP

Continuation of therapy for life

Which instruction will the nurse provide to client w type 2 diabetes who dev gout when teaching abt admin of allopurinol? Allopurinol masks symptoms of hypoglycemia Increase oral hypoglycemic meds Increase attn to diabetic foot care Monitor BCL more freq

Monitor BCL more freq

Permethrin 1% lotion is prescribed for 5 yr old w pediculosis capitis. Which instruction would the nurse include when teaching the parent about tx? Personal belongings must be discarded SE are nonexistent w the medicated shampoo Other children should be kept away from child for a week Childs hair must be combed w fine-toothed comb to remove nits

Must be combed w fine-toothed comb to remove nits

Which curative tx would a nurse admin for a client reporting severe nighttime itching with burrows in the flexor surfaces of the wrists and in the anterior axillary folds? Antipruritic lotion Y-Benzene hexachloride Permethrin 5% topical lotion Spinosad 0.9% topical suspension

Permethrin 5% topical lotion

Which rationale describes why the nurse would advise a client to have a dental exam before beginning prescribed therapy w zoledronic acid? Prevent kidney failure Prevent atrial fib Prevent bronchoconstriction Prevent maxillary osteonecrosis

Prevent maxillary osteonecrosis

Which action by 70 yr old female would best limit further progression of osteoporosis? Take supplemental ca & Vit D Increase consumption of eggs & cheese Take supplemental mg & Vit E Increase consumption of milk products

Taking supplemental calcium and Vitamin D