Nokea
A nurse is caring for a patient who is prescribed 1% hydrocortisone/4.71 mg neomycin (Coly-Mycin S Otifor bacterial infections of the external auditory canal. Which of the following instructions should be followed by the nurse administering the otic solution?
- A. When the patient is upright, remove the solution running out of the ear with gauze.
- B. After instilling the drops, insert a cotton piece deep into the ear to keep the drops in.
- C. Keep the patient lying on the untreated side for 30 minutes after instilling the drops.
- D. Insert the applicator or dropper tip sufficiently to reach into the external auditory canal.
Correct Answer: A
Rationale: Once the patient is upright, the solution running out of the ear may be gently removed with gauze. A piece of cotton can be loosely inserted into the ear canal, but it should never be inserted deeply because if inserted too deeply it may cause increased pressure within the ear canal. The patient is kept lying on the untreated side after the medication is instilled for approximately 5 minutes to facilitate the penetration of the drops into the ear canal. The nurse should not insert the applicator of dropper tip anywhere into the ear or allow the tip to become contaminated.
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A client is diagnosed with springtime allergic conjunctivitis. The nurse would expect which of the following to be prescribed? Select all that apply.
- A. Brimonidine (Alphagan)
- B. Gatifloxacin (Zymar)
- C. Betaxolol (Betoptic)
- D. Pemirolast (Alamast)
Correct Answer: D
Rationale: Mast cell stabilizers, like nedocromil (Alocril) and pemirolast (Alamast), are ophthalmic drugs useful in a client who has allergic conjunctivitis during the spring.
The nurse should discuss which of the following adverse reactions with a client prior to the administration of a drug to treat glaucoma? Select all that apply.
- A. Ocular burning
- B. Headache
- C. Numbness
- D. Tearing
- E. Blurred vision
Correct Answer: A,B,D,E
Rationale: The nurse should discuss the following adverse reactions with a client prior to the administration of drugs used to treat glaucoma: locally in or near the eye-burning and stinging, headache, blurred vision, tearing, foreign body sensation, ocular allergic reactions, and ocular itching.
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.
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 nurse is teaching a client who is prescribed eye drops as treatment for glaucoma. The nurse emphasizes the importance of therapy to reduce intraocular pressure to prevent which of the following? Select all that apply.
- A. Nerve damage
- B. Headache
- C. Visual loss
- D. Blindness
- E. Corneal tears
Correct Answer: A,C,D
Rationale: Increased intraocular pressure can lead to optic nerve damage, visual loss, and blindness.