A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

"Apply the ointment in a thin line into the conjunctival sac."

"Keep your eye open for 30 sec after instilling the ointment."

"Use a sterile glove and applicator to apply the antibiotic ointment."

"Always wipe from the outer to the inner canthus when wiping away secretions."

Answer and Explanation

The Correct Answer is A

A) "Apply the ointment in a thin line into the conjunctival sac":
This instruction is correct for applying ophthalmic ointments. Placing the ointment in a thin line along the conjunctival sac ensures proper distribution and contact with the affected area.

B) "Keep your eye open for 30 sec after instilling the ointment":
Keeping the eye open for a brief period after instillation helps the ointment spread across the eye surface. This statement indicates understanding of the proper technique for applying ophthalmic ointments and does not require further instruction.

C) "Use a sterile glove and applicator to apply the antibiotic ointment":
Using a sterile glove and applicator ensures that the application is done in a sterile manner, reducing the risk of introducing further infection. This statement indicates a need for further instruction, as ophthalmic ointments are typically applied using clean hands or disposable, sterile applicators rather than sterile gloves.

D) "Always wipe from the outer to the inner canthus when wiping away secretions":
Wiping from the outer to the inner canthus helps prevent contamination of the unaffected eye. This statement demonstrates understanding of proper eye care techniques and does not require further instruction.

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Correct Answer is A

Explanation

A) Triazolam orally at bedtime:
Triazolam is a benzodiazepine medication used for its sedative and anxiolytic properties. It can cause daytime sedation and impair psychomotor function, making activities such as driving hazardous. Instructing the client to avoid performing such activities while taking triazolam ensures their safety and minimizes the risk of accidents.

B) Polyethylene glycol dissolved in 240 ml of water once daily:
Polyethylene glycol is a osmotic laxative used to treat constipation. It does not cause sedation or impair cognitive function, so there is no need to avoid hazardous activities while taking this medication.

C) Adalimumab subcutaneously every 2 weeks:
Adalimumab is a biologic medication used to treat autoimmune diseases such as rheumatoid arthritis and inflammatory bowel disease. It does not typically cause sedation or impair cognitive function, so hazardous activities are generally not restricted while taking adalimumab.

D) Ketoconazole orally once daily with food:
Ketoconazole is an antifungal medication that does not usually cause sedation or impair cognitive function. There is no specific restriction on hazardous activities while taking ketoconazole unless the client experiences unusual side effects affecting alertness or coordination, which should be discussed with a healthcare provider.

A. A client taking a potassium supplement twice a day B. A client taking aluminum hydroxide for gastric upset C. A client taking chlorpropamide for type 2 diabetes mellitus D. A client taking furosemide for chronic hypertension

Correct Answer is D

Explanation

A) A client taking a potassium supplement twice a day:
Taking potassium supplements can actually lower the risk of digoxin toxicity because hypokalemia (low potassium levels) increases the risk of digoxin toxicity. Potassium supplements help maintain adequate potassium levels, which is beneficial for clients taking digoxin.

B) A client taking aluminum hydroxide for gastric upset:
Aluminum hydroxide can bind to digoxin in the gastrointestinal tract, reducing its absorption. This interaction can decrease the effectiveness of digoxin rather than increase the risk of toxicity.

C) A client taking chlorpropamide for type 2 diabetes mellitus:
Chlorpropamide does not interact significantly with digoxin or affect electrolyte levels in a way that would increase the risk of digoxin toxicity.

D) A client taking furosemide for chronic hypertension:
Furosemide, a loop diuretic, can cause hypokalemia and hypomagnesemia, which are risk factors for digoxin toxicity. Low potassium levels enhance the toxicity of digoxin by increasing its binding to cardiac tissue receptors, leading to enhanced cardiac effects.

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A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reinforcing teaching with a client who is taking multiple medications. The nurse should instruct the client to avoid performing hazardous activities while taking which of the following medications that can cause daytime sedation?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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