A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Timolol

Pilocarpine

Latanoprost

Phenylephrine

Answer and Explanation

The Correct Answer is D

Phenylephrine is an alpha-adrenergic agent. It binds onto adrenergic receptors producing a sympathetic effect that dilates the pupil. Dilation of the pupils allows for visualization of inner structures of the eye and easier access during retinal surgery.
A.   Timolol is a beta-blocker eye drop used to reduce intraocular pressure in conditions like glaucoma.
B.   Pilocarpine is a miotic agent (constricts the pupil) used to treat conditions like glaucoma.
C.   Latanoprost is a prostaglandin analog used to lower intraocular pressure in glaucoma.

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Correct Answer is A

Explanation

Grapefruit juice interacts with cyclosporine slowing down it's metabolism and excretion which can lead to increase blood levels potentially leading to toxicity. Clients taking cyclosporine should avoid consuming grapefruit juice.

B, C, D- smoked salmon, pepperoni, and orange juice do not typically have significant interactions with cyclosporine.

A. Insulin glargine has a duration of action of 18 to 24 hr. B. Insulin glargine has a duration of action of 16 to 24 hr. C. Insulin glargine has a duration of action of 3 to 6 hr. D. Insulin glargine has a duration of action of 6 to 10 hr.

Correct Answer is A

Explanation

Insulin glargine is a long acting insulin that has a long duration of action. This allows it to be used as a basal insulin to mimic the body's basal insulin release.

Rapid acting insulins have a duration of effect of 3-6 hours. They are used as premeals doses to provide additional insulin due to glucose peaks after meals.

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A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is to start taking cyclosporine following a kidney transplant. The nurse should instruct the client that which of the following foods can have an adverse interaction with this medication?

Correct Answer is A

Explanation

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

Correct Answer is A

Explanation

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