A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Timolol

Pilocarpine

Latanoprost

Phenylephrine

Answer and Explanation

The Correct Answer is D

Phenylephrine is an alpha-adrenergic agent. It binds onto adrenergic receptors producing a sympathetic effect that dilates the pupil. Dilation of the pupils allows for visualization of inner structures of the eye and easier access during retinal surgery.
A.   Timolol is a beta-blocker eye drop used to reduce intraocular pressure in conditions like glaucoma.
B.   Pilocarpine is a miotic agent (constricts the pupil) used to treat conditions like glaucoma.
C.   Latanoprost is a prostaglandin analog used to lower intraocular pressure in glaucoma.

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Correct Answer is A

Explanation

Phenytoin is a lifelong medication for clients presenting with unprovoked seizures. The statement shows that the client has not understood their current management plan or is in denial and requires further counselling to promote adherence.

B.Notifying the doctor before taking any other medication is important as certain drug interactions can lead to toxicity of inadequate blood levels of phenytoin.

C.This is correct as it shows understanding that phenytoin can cause oral adverse effects such as gingival hyperplasia

D.Shows understanding that some drug preparations could have incipient that may cause adverse effects that the originally tolerated agent

A. The client waits 10 min between inhalations. B. The client exhales as the medication is released from the inhaler. C. The client holds his breath for 10 seconds after inhaling the medication. D. The client takes a quick inhalation while releasing the medication from the inhaler.

Correct Answer is C

Explanation

The client should hold breath for 5- 10 seconds after inhalation. This duration allows for optimal exposure of the drug to the airway epithelium. This allows for adequate response to the bronchodilator.
A- The client should wait 2 mins between inhalations to allow for optimal absorption of the medication

B- The client should inhale during release of medication to allow entry into the lungs.

D- The client should inhale the medication slowly and deeply over about 3-4 seconds. This ensures that the medication reaches deep into your lungs where it is needed.

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A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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