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 C

Explanation

A. ACE inhibitors can cause a dry cough in some patients, but this is not typically a severe issue for patients with asthma.
B. These medications do not have a significant impact on respiratory function and are generally safe for patients with asthma.
C. Beta-blockers can constrict the airways, making them less suitable for patients with asthma. They can worsen asthma symptoms, trigger bronchospasm, and reduce the effectiveness of beta-agonist bronchodilators.
D. Thiazide diuretics do not have a significant impact on respiratory function and are generally safe for patients with asthma.

A. Any known allergies to drugs or environmental factors. B. Poor oral hygiene. C. Dietary history indicating ingestion of sugary foods D. Use of non-steroidal anti-inflammatory drugs (NSAID's).

Correct Answer is D

Explanation

A. While allergies can impact a patient's overall health, they are not directly related to the development of peptic ulcer disease. Allergies do not contribute to the mechanisms that cause ulcers, such as increased stomach acid or mucosal damage.
B. Poor oral hygiene can lead to dental problems and infections, but it is not a recognized risk factor for peptic ulcer disease. The main causes of peptic ulcers are related to factors that affect the stomach lining, such as certain medications, lifestyle choices, and infections.
C. While diet can influence gastrointestinal health, sugary foods are not a primary risk factor for peptic ulcers. The role of sugar in ulcer development is not well established compared to other factors, such as the use of certain medications or the presence of H. pylori infection.
D. This statement is correct and is a significant risk factor for developing peptic ulcer disease. NSAIDs can cause irritation of the stomach lining and inhibit the production of protective mucus, leading to ulcer formation. Chronic use of NSAIDs is one of the most common causes of peptic ulcers.

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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

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Which class of antihypertensive agents should be avoided by patients with asthma?

Correct Answer is C

Explanation

The nurse is conducting an initial interview, which specific data would be a priority risk factor for developing peptic ulcer disease?

Correct Answer is D

Explanation

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