Nokea
A nurse is educating a client on the use of Acetasol HC otic drops, which contain hydrocortisone, acetic acid, propylene glycol, sodium, and benzethonium chloride. While educating the client, the nurse integrates knowledge that the preparation exerts the action of which of the following? Select all that apply.
- A. Antifungal
- B. Corticosteroid
- C. Antibacterial
- D. Analgesic
- E. Anesthetic
Correct Answer: A,B,C
Rationale: Acetasol HC contains a corticosteroid (hydrocortisone); acetic acid and benzethonium provide antifungal and antibacterial action.
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A patient with open-angle (chroniglaucoma has been prescribed brimonidine tartrate to lower intraocular pressure (IOP). After administering the drug, the nurse should monitor which of the following in the patient as a local effect of brimonidine tartrate?
- A. Allergic lip reactions
- B. Foreign body sensation
- C. Deposits in the cornea
- D. Brow ache and headache
Correct Answer: B
Rationale: Although side effects are usually mild, treatment with brimonidine tartrate includes local effects like foreign body sensation, ocular hyperemia, burning and stinging, headache, visual blurring, ocular allergic reactions, and ocular pruritus. Allergic lip reactions, deposits in the cornea, brow ache, and headache are the transient local reactions to sympathomimetic drugs.
A client is receiving multiple ophthalmic drugs. Which of the following ophthalmic preparations would the nurse administer to the client for the purpose of treating increased intraocular pressure? Select all that apply.
- A. Brimonidine (Alphagan)
- B. Apraclonidine (Iopidine)
- C. Tobramycin (TobraDex)
- D. Ofloxacin (Ocuflox)
- E. Ganciclovir (Vitrasert)
Correct Answer: A,B
Rationale: Brimonidine (Alphagan) and apraclonidine (Iopidinare ophthalmic preparations used to treat increased intraocular pressure.
Before administering an otic preparation, which of the following would the nurse be responsible for during the preadministration assessment? Select all that apply.
- A. Documentation of a description of any drainage
- B. Examination of the outer structures of the earlobe
- C. Examination of the inner structures of the ear
- D. Documentation of a description of visible cerumen
- E. Examination of the skin around the ear
Correct Answer: A,B,D,E
Rationale: During preadministration assessment before administering an otic preparation, the nurse is responsible for the following: examination of the outer structures of the ear (earlobe and the skin around the ear) and documentation of a description of any drainage or visible cerumen. The primary health care provider examines the ear's external and internal structures.
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.
The nurse should question a client complaining of ear pain about which of the following during the assessment? Select all that apply.
- A. Tinnitus
- B. Feeling of fullness in the ear
- C. Dizziness
- D. Drowsiness
- E. Change in hearing
Correct Answer: A,B,C,E
Rationale: The nurse should question a client complaining of ear pain about the following: presence of tinnitus or dizziness, changes in hearing, and feeling of fullness in the ear.