Patient NJ is a 35-year-old female who comes to your pharmacy complaining of new red, itchy, watery eyes that started as the weather began to change 1 week ago. She has allergy symptoms from time to time and takes a daily antihistamine. She tried Gen Teal Tear Drops 3x a day, but had no success. Rubbing her eyes makes it worse. She states that her symptoms are mild and that this is not a daily occurrence. NJ has no known drug allergies and takes a multivitamin daily and loratadine 10 mg daily. Which of the following OTC options would you recommend to use for her intermittent symptoms?
Theratears Gel CMC 1%, sodium bicarbonate
Opticrom-cromolyn sodium
Refresh Tears-carboxymethylcellulose 0.5%
Opcon-A-naphazoline 0.02675% and pheniramine 0.315%
The Correct Answer is D
A. Theratears Gel CMC 1%, sodium bicarbonate: This product is a lubricant eye drop designed to relieve dryness by stabilizing the tear film. It does not address the underlying allergic response, such as histamine release, so it is unlikely to relieve itching, redness, and watering associated with allergic conjunctivitis.
B. Opticrom–cromolyn sodium: Cromolyn sodium is a mast cell stabilizer that prevents release of histamine and other mediators. However, it requires consistent, scheduled use over several days to weeks for full effect, making it less suitable for intermittent, mild symptoms needing quick relief.
C. Refresh Tears–carboxymethylcellulose 0.5%: This is another artificial tear that helps with lubrication and dryness but does not treat allergic inflammation. Since NJ already tried similar tear drops without success, this would not provide additional benefit for her symptoms.
D. Opcon-A–naphazoline 0.02675% and pheniramine 0.315%: This combination provides both an antihistamine effect (pheniramine) to relieve itching and a vasoconstrictor (naphazoline) to reduce redness. It works quickly and is appropriate for short-term, intermittent allergic eye symptoms, aligning well with NJ’s presentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Patient is 13 years old: Adolescents can generally use self-care measures for mild musculoskeletal pain if no red flags are present. Age alone, especially above 12 years, does not automatically exclude a patient from appropriate OTC or non-pharmacologic management.
B. Arm pain that has lasted 5 days: Acute musculoskeletal pain lasting less than 7 days without worsening severity or associated complications is typically appropriate for self-treatment. Monitoring and conservative management are usually sufficient within this timeframe.
C. Pelvic pain for 3 days: Pelvic pain is not typically classified as simple musculoskeletal pain and may indicate underlying conditions involving reproductive, urinary, or gastrointestinal systems. This requires further medical evaluation rather than self-care, making it an exclusion.
D. Pain Scale Score 4/10: Mild to moderate pain (generally ≤5/10) is considered appropriate for self-care with analgesics and supportive measures. This level of pain does not suggest severe pathology requiring immediate medical evaluation.
Correct Answer is C
Explanation
A. The FDA requires a Drug Facts label on packaging to standardize content and formatting for nonprescription labels: The FDA mandates a standardized Drug Facts label to ensure consumers can easily understand active ingredients, uses, warnings, and directions. This promotes safe self-medication and consistency across all OTC products.
B. Packaging must be tamper-resistant: Nonprescription drugs are required to have tamper-evident packaging to protect consumers from contamination or product alteration. This regulation was strengthened to improve safety and ensure product integrity before use.
C. Health care providers are needed to counsel patients on the safe and effective use of the products: OTC medications are specifically designed for self-care without the need for direct supervision by a healthcare provider. While counseling can improve safe use, it is not a requirement for consumers to access or use these medications.
D. Consumers can use them for self-diagnosed conditions: A key feature of OTC medications is that they are intended for conditions that individuals can recognize and manage on their own. This allows timely treatment of minor illnesses without requiring a prescription.
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