A client with a severe corneal ulcer has an order for gentamycin ophthalmic solution 1 drop every 4 hours and neomycin ophthalmic solution 1 drop every 4 hours. Which of the following schedules should be used when administering the eye drops?

The medications should be separated by a cycloplegic drug

The medications should be alternated every 2 hours.

A low 5 minutes between the two medications

The med cations may be used together

Answer and Explanation

The Correct Answer is C

A.   Cycloplegic drugs are used to paralyze the ciliary muscle and dilate the pupil, typically in specific situations such as during examinations or for certain conditions, but they do not facilitate the administration of antibiotic drops.
B.   While alternating medications is sometimes done, in this case, both medications are to be given every 4 hours, not every 2 hours. Alternating them every 2 hours would not allow for the correct administration schedule and could lead to unnecessary confusion or overdose.
C.   When administering multiple eye drops, it is generally recommended to wait about 5 to 10 minutes between the different drops to allow for proper absorption and prevent the first drop from being washed out by the second.
D.   While both medications can be prescribed for a patient, they cannot be administered simultaneously. Using both drops at the same time would result in one medication washing out the other, which would reduce their effectiveness. They need to be given sequentially with appropriate timing in between.

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Correct Answer is D

Explanation

A. While daycare workers can be at risk for various infections, they are not typically considered at high risk for TB unless they are in close contact with TB-positive individuals. Therefore, this option does not present the highest likelihood of TB.
B. This individual is at a moderate risk for TB, especially if they are caring for patients with known TB or are in an environment where TB may be more prevalent. However, nursing homes are more often associated with other infections rather than being primary sources for TB outbreaks.
C. High school students are generally not at high risk for TB unless they have specific exposure or travel history. Without additional risk factors, this group does not exhibit a high likelihood of TB.
D. This option represents the highest likelihood of TB. Homeless individuals are at increased risk for TB due to factors such as crowded living conditions, poor nutrition, and lack of access to healthcare.

A. Allow the client to verbalize feelings about having the white patches. B. Explain the patches will go away on their own in about 2 weeks. C. Instruct to rinse the mouth with diluted hydrogen peroxide and water daily. D. Notify the health care provider to obtain an antifungal medication.

Correct Answer is D

Explanation

A. While it's important for clients to express their feelings and concerns, this intervention does not directly address the issue of the white patches or the potential infection. It may provide emotional support, but it does not contribute to resolving the clinical problem.
B. While some mild cases may resolve on their own, oral thrush often requires antifungal treatment, especially in immunocompromised patients or those on prolonged antibiotic therapy. Telling the patient that it will go away without treatment could lead to worsening symptoms and complications.
C. While oral hygiene is important, rinsing with diluted hydrogen peroxide is not the standard treatment for oral thrush. This method could cause irritation and may not effectively eliminate the fungal infection. Other rinses (like saline) might be more appropriate for general oral care but would not address the underlying candidiasis.
D. White, cheesy patches in the mouth suggest oral thrush, which is commonly treated with antifungal medications (such as fluconazole or nystatin).

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A client with a severe corneal ulcer has an order for gentamycin ophthalmic solution 1 drop every 4 hours and neomycin ophthalmic solution 1 drop every 4 hours. Which of the following schedules should be used when administering the eye drops?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is working in an outpatient clinic. The clinic has been alerted that there is an outbreak of tuberculosis (TB). Which of the following clients entering the clinic today are most likely to have TB?

Correct Answer is D

Explanation

A client with pneumonia receiving antibiotic therapy reports white, cheesy patches in the mouth. Which intervention should the nurse implement?

Correct Answer is D

Explanation

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