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 D

Explanation

A) Neutropenia:
Neutropenia, a low level of neutrophils (a type of white blood cell), is not a typical adverse effect associated with atenolol. Atenolol primarily affects cardiovascular function rather than hematologic parameters like neutrophil count.

B) Anemia:
Anemia, a decrease in red blood cells or hemoglobin levels, is not commonly associated with atenolol use. Beta-blockers do not typically affect red blood cell production or hemoglobin levels.

C) Hypokalemia:
Hypokalemia, or low potassium levels, can occur with some medications, but it is not a well-documented adverse effect of atenolol specifically. Atenolol may affect potassium levels indirectly through its effects on the cardiovascular system, but it is not a primary adverse effect.

D) Bradycardia:
Atenolol is a beta-blocker medication that primarily works by slowing the heart rate and reducing the force of heart contractions. Bradycardia, or a slow heart rate, is a known adverse effect of beta-blockers like atenolol. It occurs due to the medication's mechanism of action in blocking beta-adrenergic receptors, which can lead to decreased heart rate.

A. BP of 132/82 mm Hg B. Heart rate of 66/min C. Digoxin level of 1.2 ng/mL D. Potassium level of 3.0 mEq/L

Correct Answer is D

Explanation

A) BP of 132/82 mm Hg: This blood pressure reading is within the normal range for most adults and does not typically indicate a need to withhold digoxin or report to the provider. Digoxin's primary concerns are related to heart rate and electrolyte levels rather than blood pressure.

B) Heart rate of 66/min: A heart rate of 66 beats per minute is within the normal range for adults. While digoxin is used to manage heart rate, particularly in atrial fibrillation, this heart rate does not indicate an immediate need to report to the provider or withhold the medication.

C) Digoxin level of 1.2 ng/mL: This digoxin level falls within the therapeutic range, which is typically 0.8 to 2.0 ng/mL for most patients. Therefore, this finding does not indicate digoxin toxicity or a need to report to the provider.

D) Potassium level of 3.0 mEq/L: A potassium level of 3.0 mEq/L is below the normal range (3.5-5.0 mEq/L) and indicates hypokalemia. Hypokalemia can increase the risk of digoxin toxicity, as low potassium levels can enhance digoxin's effects on the heart. Therefore, this finding is significant and should be reported to the provider to prevent potential adverse effects and complications.

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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

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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