Nokea
A nurse is teaching a client who has a new prescription for Brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching?
- A. This medication can stain your contacts.
- B. This medication can cause your pupils to constrict.
- C. This medication can absorb into your contacts.
- D. This medication can slow your heart rate.
Correct Answer: C
Rationale: Brimonidine can absorb into contacts , requiring removal before use to avoid irritation.
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Teaching the patient/caregiver about their medications is an important step in reducing the risk of medication errors. What is an important teaching point about medications?
- A. Speak up
- B. Store medications in a warm humid place
- C. Adjust your medication according to your weight
- D. Keep a list of your prescribed medications
Correct Answer: D
Rationale: Keeping a medication list enhances safety by ensuring all providers know current drugs, reducing error risk.
Which is true regarding the unit dose drug distribution system?
- A. The inventory is delivered to each nursing unit on a regular and recurring basis.
- B. The system delivers one dose of each medication to be administered until the subsequent delivery of inventory.
- C. The use of single dose packages of drugs dispensed to fill each dose requirement as it is ordered.
- D. The amount of inventory needed to dose all patients on the unit for a 24 hour interval.
Correct Answer: C
Rationale: The unit dose drug distribution system uses single unit packages of drugs dispensed to fill each dose requirement as it is ordered.
Milk and other foods that alkalinize the urine may:
- A. Result in basic drugs, being, reabsosibet in
- B. Increase the elimination of basic drugs in the urine
- C. Decrease the elimination of acidic drugs
- D. Not alter drug elimination due to the minimal change in urine pH
Correct Answer: C
Rationale: Alkalinizing urine increases ionization of acidic drugs, reducing their reabsorption and thus decreasing elimination.
The following are recognized effects of propranolol except
- A. Increases microcoronary blood flow
- B. Decrease in heart rate
- C. Decrease in cardiac output
- D. Reduction in ventricular systolic pressure
Correct Answer: A
Rationale: Propranolol reduces coronary flow; other effects are correct.
Clinical dosing of Bethanechol:
- A. Begins at the highest effective dose to obtain a rapid response
- B. Starts at 5 mg to 10 mg PO and is repeated every hour until a satisfactory clinical response is achieved
- C. Requires dosing only once daily
- D. Is the same for both the oral and parenteral route
Correct Answer: B
Rationale: Bethanechol is titrated hourly from 5-10 mg to achieve the desired effect.