A client is prescribed propranolol a systemically acting ophthalmic drop. What additional step must be included in the administration process?

Touch the tip of the bottle to the lacrimal duct

Apply pressure to inner canthus for 2 minutes

Have client e down or tilt the back of their head

Have client pull down their lower eye lid

Answer and Explanation

The Correct Answer is B

A) Touch the tip of the bottle to the lacrimal duct: Touching the tip of the bottle to the lacrimal duct is not a recommended practice when administering eye drops. This could introduce bacteria into the eye or nose, leading to potential infection. The goal is to administer the drops without contamination, and the tip of the bottle should never touch the eye or any part of the face.

B) Apply pressure to inner canthus for 2 minutes: Applying pressure to the inner canthus (the corner of the eye near the nose) for about 2 minutes after administering ophthalmic drops is a key step when using systemically acting eye medications like propranolol. This helps to prevent the systemic absorption of the medication through the nasolacrimal duct, reducing the risk of systemic side effects such as bradycardia or hypotension. This step ensures that the medication stays localized in the eye.

C) Have client lie down or tilt the back of their head: While lying down or tilting the head back may help the client instil the drops more comfortably, it is not a required step for the proper absorption or effectiveness of eye drops. The key to effective administration lies in positioning the drop in the correct part of the eye and minimizing systemic absorption, which is achieved by applying pressure to the inner canthus, not necessarily by tilting the head.

D) Have client pull down their lower eyelid: Pulling down the lower eyelid is a standard step in administering eye drops, as it creates a small pocket to hold the drop. However, it does not specifically address the concern for reducing systemic absorption of a medication like propranolol. The primary step for preventing systemic effects is applying pressure to the inner canthus after administration, making this less relevant for this specific question.

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Correct Answer is B

Explanation

A. "Take this medication with a small sip of water or on an empty stomach":
This response is not ideal for calcium carbonate. Calcium carbonate is typically taken with food to help increase its absorption and to reduce the risk of gastrointestinal discomfort, such as constipation or bloating. Taking it on an empty stomach could cause irritation and is not the standard guideline for this medication.

B. "This medication should be taken two hours before other medications":
This is the most appropriate response. Calcium carbonate can interfere with the absorption of other medications, particularly those that require an acidic environment for proper absorption, such as certain antibiotics (e.g., tetracyclines) and thyroid medications. Therefore, taking calcium carbonate two hours before or after other medications helps to prevent such interactions.

C. "Place this medication underneath your tongue and let it dissolve":
Calcium carbonate is typically taken orally in tablet form, not sublingually. The medication should not be dissolved under the tongue, as it is not designed for that route of administration. This would be an incorrect instruction.

D. "You can take as many doses of this medication as you need":
This statement is not accurate. Calcium carbonate should be taken as prescribed and in the correct dosage to avoid side effects such as hypercalcemia or kidney stones. Overuse of calcium supplements can lead to serious complications, and it should not be taken "as needed" without specific instructions from the healthcare provider.

Correct Answer is ["12"]

Explanation

1. Convert the child's weight from pounds to kilograms:

There are approximately 2.2 pounds in 1 kilogram.

33 pounds / 2.2 pounds/kg = 15 kg (approximately)

2. Calculate the total milligrams of amoxicillin needed per dose:

The order is for 20 mg/kg/dose.

The child weighs 15 kg.

20 mg/kg * 15 kg = 300 mg

3. Determine the concentration of the amoxicillin suspension:

The label shows the concentration is 125 mg/5 mL.

4. Set up a proportion to find the volume (in mL) needed:

125 mg / 5 mL = 300 mg / x mL

5. Solve for x:

Cross-multiply: 125x = 300 * 5

125x = 1500

x = 1500 / 125

x = 12 mL

Answer: You will administer 12 mL per dose.

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A client is prescribed propranolol a systemically acting ophthalmic drop. What additional step must be included in the administration process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is newly prescribed calcium carbonate and asks how they should take this medication. What is the best response by the nurse?

Correct Answer is B

Explanation

The order reads "amoxicillin 20mg/kg/dose PO every 8 hours." The child weighs 33 pounds. Using the label below, how many mL will you administer per dose? (Enter a number only, answer to the nearest tenths place)

Correct Answer is ["12"]

Explanation

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