A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

“Warm the ointment by placing the tube in glass of hot tap water”

"Discard the first bead of ointment before each application."

"Instruct your child to squeeze his eyes shut following application."

"Cleanse the eye with a wet cotton ball in a direction towards the inner canthus before applying the ointment."

Answer and Explanation

The Correct Answer is B

the first bead of ointment may be contaminated with bacteria from the tip of the tube or the surrounding skin. Discarding this initial bead ensures that the subsequent application is sterile and reduces the risk of introducing infection into the eye.

A. Warming the ointment by placing the tube in hot tap water alters the consistency of the ointment and can potentially cause burns to the child's delicate eye tissue.

C. Instructing the child to squeeze his eyes shut following application is not necessary. The eyes should be closed gently

D. Cleansing the eye should be done from the inner corner moving outward

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Correct Answer is C

Explanation

Mydriatic eye drops are used in ophthalmology to dilate the pupil for visualization of the retina and the vitreous humor. Absorption into the system an lead to systemic anticholinergic effect such a s constipation due to reduce gastrointestinal motility.

A. Bradycardia is a cholinergic effect

B and D are not typical anticholinergic effects

A. Saw palmetto B. Soy C. Cranberry D. Garlic

Correct Answer is B

Explanation

Soy contains compounds called isoflavones, which inhibit the absorption of levothyroxine in the gastrointestinal tract, leading to decreased blood levels and effectiveness of the medication.

A. Saw palmetto does not interact significantly with levothyroxine.

C. Cranberry does not have significant interactions with levothyroxine.

D. Garlic does not interact significantly with levothyroxine.

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A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

Correct Answer is C

Explanation

A nurse is providing teaching to a client Who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid Which of the following herbal supplements?

Correct Answer is B

Explanation

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