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. This statement describes glaucoma, not macular degeneration. Glaucoma is characterized by increased intraocular pressure that can lead to optic nerve damage and vision loss. It does not specifically pertain to damage of the macula or central vision.
B. This statement refers to conditions like astigmatism, where the cornea has an irregular shape, leading to blurred vision. It is not relevant to macular degeneration, which involves damage to the retina rather than the curvature of the cornea.
C. This statement accurately describes macular degeneration. The macula is the part of the retina responsible for sharp central vision, which is crucial for tasks like reading and recognizing faces. In macular degeneration, this area deteriorates, leading to loss of central vision.
D. This statement describes cataracts, where the lens of the eye becomes cloudy, leading to blurred vision. Cataracts and macular degeneration are distinct conditions, with different causes and impacts on vision.

A. Encourage the child to ambulate. B. Wat 30 minutes and confirm blood glucose reading C. Give the child a tablespoon of honey or a snack. D. Administer regular insulin. E. Prepare to administer glucagon subcutaneously if unconsciousness occurs.

Correct Answer is ["C","E"]

Explanation

A. Encouraging a child with hypoglycemia to ambulate can be dangerous. Physical activity can further lower blood sugar levels, which could exacerbate the situation. It’s better to keep the child stable and provide treatment for the low blood sugar.
B. Waiting to confirm the blood glucose reading is not appropriate in this case. A blood glucose level of 50 mg/dL requires immediate intervention, not a delay. The priority is to treat the hypoglycemia right away.
C. Providing a fast-acting carbohydrate, like a tablespoon of honey, is an appropriate intervention for treating hypoglycemia. Other options could include glucose tablets or juice. The key is to quickly raise the blood sugar level.
D. Administering insulin when blood glucose levels are low is contraindicated. Insulin would further decrease the blood sugar level, worsening the hypoglycemic state. The priority is to treat the low blood sugar, not to give insulin.
E. If the child becomes unconscious due to hypoglycemia and is unable to swallow, glucagon should be prepared for administration. Glucagon can help raise blood sugar levels in emergency situations.

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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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