Nokea
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.
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A client receiving ophthalmic drugs reports blurred vision. He tells the nurse, 'I almost fell yesterday.' The nurse identifies which nursing diagnosis?
- A. Risk for Infection
- B. Risk for Injury
- C. Acute Pain
- D. Anxiety
Correct Answer: B
Rationale: The client's complaint of blurred vision and his report of almost falling support the nursing diagnosis of Risk for Injury. Risk for Infection would be appropriate if the client had an infection or did not correctly instill the eyedrops, contaminating the container and/or solution. Acute Pain would be more appropriate if the client complained of pain either from the disorder or as an adverse effect. Although the client may be anxious, there is no evidence to support it.
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.
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.
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.