WK11 Test Drugs and Concepts

A nurse is preparing to administer ketorolac. The nurse anticipates noting which ocular problem in the client's record? Select all that apply. a. During ocular surgery to prevent miosis b. Relief of ocular itching c. Bacterial infection d. Increased intraocular pressure e. Postoperative pain after cataract surgery

A, B, E,

A nurse is preparing to administer an ophthalmic solution to the client recently noted to have increased intraocular pressure. Which drug does the nurse anticipate administering? Select all that apply. a. brimonidine b. ganciclovir c. apraclonidine d. ofloxacin e. tobramycin

A, C

The nurse is conducting an assessment on a client who is reporting ear pain. Which factors should the nurse prioritize in the assessment questioning? Select all that apply. a. feeling of fullness in the ear b. dizziness c. drowsiness d. change in hearing e. tinnitus

A, B, D, E,

A 75-year-old woman walks into the emergency department with complaints of "not feeling well." Her blood pressure is 145/95, pulse 85 beats/min, respirations 24 breaths/min, and blood sugar 300. Upon inspection, the nurse notices that the woman has an open wound on the bottom of her foot, but the patient states she is not aware of this. How should the nurse interpret these findings? a. Pathologic impairment of sensory responses b. A side effect of anti-hypertensive medication c. A need for the patient to be evaluated for cognitive impairment d. Normal in the older adult

A

A client is prescribed two ophthalmic drugs that are to be administered at about the same time each day. The nurse instructs the client to separate the drug administration by which amount of time? a. 5 to 10 minutes b. 3 to 5 minutes c. 10 to 15 minutes d. 1 to 2 minutes

A

An adult male patient is complaining of decreased appetite. He states he just finished taking his antibiotics for an episode of pneumonia. What is the nurse's best response? a. "You should see an improvement in the next week or so. Call if this continues." b. "Notify your doctor immediately, because this is a concerning reaction to the medication." c. "You need to take an appetite stimulant, as your body will need good nutrition to recover from the infection." d. "Your wife should increase the spices in your food, as the pneumonia changes your sense of smell."

A

During the examination of the ear, a dark yellow substance is noted in the ear canal. The tympanic membrane is not visible. The patient's wife complains that he never hears what she says lately. These findings would suggest that the nurse prepare the patient for which procedure? a. irrigation of the ear b. otoscopic exam by a specialist c. tympanoplasty d. pure tone test

A

The nurse educates a client about using the prescribed otic 0.5% hydrocortisone, 10,000 units polymyxin B, 4 drops QID in right ear x 10 days. Which client statements determine the need for further clarification? a. "I will place the bottle tip into the ear and instill the 4 drops." b. "I will lie down on my left side to instill the ear drops into the right canal." c. "I will instill the drops and lie still for ten minutes before getting up." d. "I will warm the bottle in my hand before using it in my ear."

A

The nurse is administering trifluridine to a client with epithelial keratitis. The nurse will prioritize which finding on the ongoing assessment of this client? A. Edema of the eyes B. Cataract formation C. Delayed wound healing D. Loss of visual acuity

A

A client would like to use carbamide peroxide and asks the nurse if this is okay. The nurse would caution the client to avoid using this product if which situation is present? Select all that apply. a. perforated eardrum b. ear drainage c. dizziness d. before ear surgery e. congestion

A, B

The nurse is preparing to administer an otic preparation. Which actions would the nurse prioritize during the preadministration assessment? Select all that apply. a. Examine the skin around the ear b. Document any drainage c. Examine the outer structures d. Document description of cerumen e. Examine the inner structures

A, B, C, D

The nurse is preparing to administer erythromycin otic to a client. The nurse will question this prescription if which diagnosed eye disorder is noted in the client's medical record? Select all that apply. A. Epithelial herpes simplex keratitis B. Varicella infection C. Fungal infection D. Mycobacterial infection E. Gonorrheal infection

A, B, C, D,

The nurse is preparing to teach a client diagnosed with glaucoma about the medication which the primary health care provider has prescribed. Which adverse reactions should the nurse point out in the session? Select all that apply. a. blurred vision b. tearing c. numbness d. ocular burning e. headache

A, B, D

A client is prescribed an otic agent to promote cerumen removal. Which instruction would the nurse include in the teaching plan? Select all that apply. a. Call your primary health care provider if dizziness occurs. b. Do not use the drug if there is ear drainage. c. Insert a cotton swab into the ear canal at least once a day. d. Use the drug for no more than 4 days. e. After the treatment, do not flush the ear with warm water to remove remaining wax.

A, B, D,

The nurse is teaching the client about the prescribed dexamethasone. The nurse determines the session is successful when the client correctly chooses which potential adverse reactions to be aware of? Select all that apply. a. Increased intraocular pressure b. Ptosis c. Headache d. Cataract formation e. Numbness

A, B, D,

After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the group correctly chooses which preparations as being used to aid in the removal of cerumen? Select all that apply. A. Carbamide peroxide B. 1%hydrocortisone, 2%acetic acid, 3%propylene glycol, 0.015%sodium, 0.02%benzethonium chloride C. Triethanolamine polypeptide D. Ofloxacin (otic) 2 mg ciprofloxacin, 10 mg hydrocortisone/mL

A, C

A nurse is teaching a client with glaucoma about the prescribed eye drops. The nurse emphasizes the importance of therapy to prevent which complication? Select all that apply. A. visula loss B. headache C. nerve damage D. blindness E. corneal tears

A, C, D

A nurse is teaching a client on the use of the otic drops, which contain 1% hydrocortisone, 2% acetic acid, 3% propylene glycol, 0.015% sodium, and 0.02% benzethonium chloride. The nurse should point out the preparation exerts the action of which category? Select all that apply. a. corticosteroid b. anesthetic c. antifungal d. antibacterial e. analgesic

A, C, D,

When assessing an infant for a possible ear infection, which behaviors would the nurse note? Select all that apply. a. irritability b. nasal drainage c. change in behavior d. ear tugging e. fever

A, C, D, E

A nurse is preparing to administer an ophthalmic solution to a client who is diagnosed with a bacterial ocular infection. Which drug would the nurse predict that will be prescribed? Select all that apply. a. gatifloxacine b. brimonidine c. natamycin d. tobramycine e. betaxolol

A, D

The nurse is caring for an adult client diagnosed with a left external ear infection. The nurse should perform which ongoing assessment(s) for safe administration of the otic, 1% hydrocortisone, 5 mg neomycin, 10,000 units polymyxin B? Select all that apply. a. Assess if pain and drainage have decreased. b. Ask if there is an increase in cerumen. c. Observe for tugging and pulling on left ear. d. Inspect and palpate for increased pain, redness. e. Assess for hearing loss in the right ear.

A, D

The nurse is caring for a 64-year-old client in a clinic being treated for excessive cerumen with carbamide peroxide. The nurse should report which contraindication(s)? Select all that apply. a. Recent ear surgery b. Problems hearing c. Visual cerumen in ear canals d. Ear drum is perforated e. Reports pain in ears

A, D, E

A nurse is preparing to administer otic drops which contain benzocaine, antipyrine, and glycerin. The nurse predicts these drops provide which type of action? Select all that apply. a. emolient b. antifungal c. corticosteroid d. local anesthetic e. analgesic

A, D, E,

A client with chronic open-angle glaucoma has been prescribed brimonidine tartrate. After administering the drug, the nurse should monitor the client for which potential adverse reaction? A. Allergic lip reactions B. Foreign body sensation C. Deposits in the cornea D. Brow ache and headache

B

A nurse is caring for a client who is prescribed 1% hydrocortisone/4.71 mg neomycin for bacterial infection of the external auditory canal. Which instructions should the nurse utilize when administering the otic solution? a. After instilling the drops, insert a cotton piece deep into the ear to keep the drops in. b. With the client upright, remove the solution running out of the ear with gauze. c. Insert the applicator or dropper tip sufficiently to reach into the external auditory canal. d. Keep the client lying on the untreated side for 30 minutes after instilling the drops.

B

After teaching a group of nursing students about various ophthalmic drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a carbonic anhydrase inhibitor? a. pilocarpine b. brinzolamide c. latanoprost d. travoprost

B

An 80-year-old patient is being discharged after he was diagnosed with diabetes mellitus and retinopathy. His daughter has been part of the discharge instruction process. Understanding of the instructions is evident when the daughter says which of the following? a. "Dad needs to wear his glasses so he can delay the onset of macular degeneration." b. "I will ask the home health aide to carefully inspect Dad's feet every day when she helps him bathe." c. "I will make sure that Dad always wears warm socks." d. "We will give him only warm foods, so that he doesn't burn his mouth."

B

The nurse requests that a mother give permission for a hearing test in a newborn infant. The mother questions the importance of such a test. The nurse correctly responds with which of the following statements? a. "Socialization skills include the need to hear in order to interpret the emotional aspect of the words that are spoken to your child." b. "Imitation of sounds is the first step in language development, and it is important to identify alterations early." c. "This will help us to identify your baby's risk for ear infections the first year of life." d. "Hearing is important so your baby hears and responds to your voice, which makes you feel like a mother."

B

The patient who had a hip replacement yesterday has a visual acuity of 20/200 after correction. What is the nurse's best action to provide recreational activities during the rehabilitation phase? a. Place the television to the left or right of patient's visual field. b. Suggest use of talking books. c. Encourage the patient to learn braille. d. Provide headphones for listening to music.

B

A nurse is teaching a client about the use of the otic drops containing 1.4% benzocaine, 5.4% antipyrine, and glycerin. The nurse would point out which possible adverse reactions to the client? Select all that apply. A. headache B. irritation C. congestion D. burning E. pruritus

B, D, E,

The nurse is teaching a caregiver how to instill otic drops in a child. The nurse determines the session is successful when the caregiver correctly administers the drops in which manner? Select all that apply. a. Have client tilt head downward. b. Warm the solution prior to administration. c. Insert the dropper tip into the ear canal. d. Insert a piece of cotton loosely into the ear. e. Straighten the ear canal.

B, D, E,

A client is diagnosed with springtime allergic conjunctivitis. The nurse predicts the client will be prescribed which otic solution? A. betaxolol B. brimonidine C. pemirolast D. gatifloxacine

C

The nurse is examining the eyes of a newborn infant. If the nurse notes the absence of the red reflex, what is the next best action? a. Monitor the eye movements and pupil reactions closely. b. Recheck the reflex after several hours. c. Notify the physician. d. Document the finding in the records.

C

After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the students match which ingredient to its correct action? Select all that apply. a. Antipyrine---decongestant b. Carbamide peroxide---antimicrobial c. Hydrocortisone---corticosteroid d. Benzocaine---local anesthetic e. Acetic acid---antimicrobial

C, D, E,

A client is admitted to the health care facility with acute glaucoma. After administering the prescribed ophthalmic drugs, the nurse continues to assess the client for pain relief at which frequency? a. every 3 hours b. every 4 hours c. every hour d. every 2 hours

D

A client receiving ophthalmic drugs reports blurred vision. The client tells the nurse, "I almost fell yesterday." The nurse will prioritize which nursing diagnosis for this client? A. Risk for Infection B. Acute Pain C. Anxiety D. Risk for Injury

D

After teaching a client how to administer eye drops, the nurse determines that additional teaching is needed when the client makes which statement? a. "I'll check the label to make sure it reads for "ophthalmic use" b. "I'll check to make sure the solution is clear." c. "I'll be sure not to touch the tip of the dropper to the eye." d. "I'll drop the solution into the nasal side of the lower eye sac."

D

The nurse is providing health teaching to a group of mothers of school-aged children. Which statement by a mother indicates the need for additional instruction? a. "I will take my child to the audiologist because he doesn't seem to hear me except when I look directly at him." b. "I see now why when my child has a cold, he complains about everything tasting blah!" c. "Making my child wear ear plugs when she goes to a rock concert may save her hearing!" d. "Both of my children have the same eye medication, which is a real bonus, because I only need to buy one bottle."

D