Nokea
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.
You may also like to solve these questions
A client is prescribed an otic agent to promote cerumen removal. Which of the following would the nurse include in the teaching plan? Select all that apply.
- A. Insert a cotton swab into the ear canal at least once a day.
- B. Do not use the drug if there is ear drainage.
- C. Use the drug for no more than 4 days.
- D. Call your primary health care provider if dizziness occurs.
- E. After the treatment, do not flush the ear with warm water to remove remaining wax.
Correct Answer: B,C,D
Rationale: The nurse would instruct the client not to insert anything into the ear canal, such as a cotton swab, not to use the drug if there is ear drainage, to use the drug for no more than 4 days; to call the primary health care provider if dizziness occurs; and to remove any wax remaining after the treatment by gently flushing the ear with warm water using a soft rubber bulb syringe.
A client would like to use carbamide peroxide (Debrox) to remove cerumen from the ears and asks the nurse if this is okay. In which of the following situations should this drug not be used? Select all that apply.
- A. Before ear surgery
- B. Perforated eardrum
- C. Congestion
- D. Ear drainage
- E. Dizziness
Correct Answer: B,D
Rationale: Drugs like Debrox (carbamide peroxide), used to remove cerumen, are not used if ear discharge, drainage, pain, or irritation is present, if the eardrum is perforated; or after ear surgery.
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 nurse is teaching a client about the use of Auralgan Otic. The nurse would inform the client about which of the following as a possible adverse reaction? Select all that apply.
- A. Irritation
- B. Headache
- C. Pruritus
- D. Burning
- E. Congestion
Correct Answer: A,C,D
Rationale: A nurse educating a client on the use of Auralgan Otic should advise the client of the following adverse reactions: irritation, pruritus, and burning.
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.