Nokea
After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the group identifies which of the following preparations as being used to aid in the removal of cerumen? Select all that apply.
- A. Cipro HC otic
- B. Floxin otic
- C. Debrox
- D. Acetasol HC
- E. Cerumenex
Correct Answer: C,E
Rationale: Carbamide peroxide (Debrox) and triethanolamine polypeptide (Cerumenex) are otic preparations used to aid in the removal of cerumen.
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The nurse should discuss which of the following adverse reactions with a client prior to the administration of dexamethasone (Maxidex)? Select all that apply.
- A. Increased intraocular pressure
- B. Headache
- C. Numbness
- D. Ptosis
- E. Cataract formation
Correct Answer: A,D,E
Rationale: The nurse should discuss the following adverse reactions with a client prior to the administration of an ophthalmic corticosteroid, like dexamethasone (Maxidex): increased intraocular pressure with optic nerve damage, loss of visual acuity, cataract formation, delayed wound healing, secondary ocular infection, exacerbation or corneal infections, dry eyes, ptosis, blurred vision, discharge, ocular pain, foreign body sensation, and pruritus.
Which of the following are important points for the nurse to remember when administering an otic preparation to a client? Select all that apply.
- A. Have client tilt head downward.
- B. Warm the otic preparation prior to administration.
- C. Straighten the ear canal.
- D. Never insert the dropper tip into the ear canal.
- E. Insert a piece of cotton loosely into the ear canal to prevent the drug from flowing out.
Correct Answer: B,C,D,E
Rationale: The following are important points for the nurse to remember when administering an otic preparation to a client: have the client lie on his or her side or tilt his or her head with the infected ear facing the ceiling; warm the otic preparation prior to administration; straighten the ear canal; insert a piece of cotton loosely into the ear canal to prevent the drug from flowing out; and never insert the dropper tip into the ear canal.
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 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.
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.