Nokea
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. 1 to 2 minutes
- B. 3 to 5 minutes
- C. 5 to 10 minutes
- D. 10 to 15 minutes
Correct Answer: C
Rationale: If more than one topical ophthalmic drug is being used, the nurse would instruct the client to administer the drugs at least 5 to 10 minutes apart.
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A nurse is preparing to administer the ophthalmic drug ketorolac (Acular). The nurse understands that this drug can be used to treat which of the following ocular problems? Select all that apply.
- A. Bacterial infection
- B. Increased intraocular pressure
- C. Postoperative pain after cataract surgery
- D. Relief of ocular itching
- E. During ocular surgery to prevent miosis
Correct Answer: C,D,E
Rationale: Ophthalmic NSAIDs, like ketorolac (Acular), are used to treat pain and inflammation after cataract surgery, for the relief of ocular itching, and during eye surgery to prevent miosis.
When assessing an infant for a possible ear infection, which of the following behaviors would the nurse note? Select all that apply.
- A. Change in behavior
- B. Nasal drainage
- C. Irritability
- D. Ear tugging
- E. Fever
Correct Answer: A,C,D,E
Rationale: When assessing the infant, the nurse would look for ear tugging, change in behavior, crying, fussing or irritability, or fever.
A client is prescribed an otic agent to promote cerumen removal. Which of the following would the nurse include in the teaching plan? Select all that apply.
- A. Insert a cotton swab into the ear canal at least once a day.
- B. Do not use the drug if there is ear drainage.
- C. Use the drug for no more than 4 days.
- D. Call your primary health care provider if dizziness occurs.
- E. After the treatment, do not flush the ear with warm water to remove remaining wax.
Correct Answer: B,C,D
Rationale: The nurse would instruct the client not to insert anything into the ear canal, such as a cotton swab, not to use the drug if there is ear drainage, to use the drug for no more than 4 days; to call the primary health care provider if dizziness occurs; and to remove any wax remaining after the treatment by gently flushing the ear with warm water using a soft rubber bulb syringe.
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. Benzocaine - local anesthetic
- C. Hydrocortisone - corticosteroid
- D. Carbamide peroxide - antimicrobial
- E. Acetic acid - antimicrobial
Correct Answer: B,C,E
Rationale: The following ingredients found in miscellaneous otic preparations are correctly matched with their action: benzocaine - local anesthetic, hydrocortisone corticosteroid, and acetic acid - antimicrobial. Antipyrine is an analgesic; carbamide peroxide aids in removing cerumen.
After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the group identifies which of the following preparations as being used to aid in the removal of cerumen? Select all that apply.
- A. Cipro HC otic
- B. Floxin otic
- C. Debrox
- D. Acetasol HC
- E. Cerumenex
Correct Answer: C,E
Rationale: Carbamide peroxide (Debrox) and triethanolamine polypeptide (Cerumenex) are otic preparations used to aid in the removal of cerumen.