Nokea
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.)
- A. Have the client lie on her side.
- B. Ask the client to look up at the nurse.
- C. Tell the client to blink when the drops enter her eye.
- D. Drop the medication into the center of the client's conjunctival sac.
Correct Answer: D
Rationale: Looking up exposes the conjunctival sac, where drops should be placed for effective administration and absorption.
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You need to administer 200 mL of a drug over 30 minutes using microdrip tubing (60 gtt/mL). What is the flow rate in drops per minute?
- A. 60 gtt/min
- B. 120 gtt/min
- C. 400 gtt/min
- D. 240 gtt/min
Correct Answer: C
Rationale: Flow rate = (200 mL 60 gtt/mL) ÷ 30 = 12,000 ÷ 30 = 400 gtt/min, matching option C.
A patient who is taking metronidazole (Flagyl) reports reddish-brown urine. Which action will the nurse take?
- A. Obtain an order for BUN and creatinine levels
- B. Reassure the patient that this is a harmless effect
- C. Request an order for a urinalysis
- D. Test her urine for occult blood
Correct Answer: B
Rationale: Reddish-brown urine is a benign metronidazole side effect; no labs are needed. Reddish-brown urine is a harmless side effect of metronidazole and is not cause for concern.
It is reasonable to recommend supplementation with in the treatment of hyperlipidemia.
- A. Omega-3 fatty acids
- B. Probiotics
- C. Plant sterols
- D. Calcium
Correct Answer: C
Rationale: Plant sterols reduce LDL cholesterol by inhibiting intestinal cholesterol absorption.
An Investigational New Drug is filed with the U.S. Food and Drug Administration:
- A. When the manufacturer has completed phase III trials
- B. When a new drug is discovered
- C. Prior to animal testing of any new drug entity
- D. Prior to human testing of any new drug entity
Correct Answer: D
Rationale: An IND is filed before human testing , after preclinical (animal) studies, to ensure safety before clinical trials begin.
All the following cross placenta except
- A. Warfarin
- B. Heparin
- C. Phenindione
- D. Morphine
Correct Answer: B
Rationale: Heparin, a large molecule, does not cross the placenta; others do.