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 B

Explanation

A. Taking the medication on an empty stomach is not necessary
B. Storing the medication at room temperature is correct to prevent degradation and reduced efficacy.
C. The duration of treatment with nystatin suspension varies depending on the severity of the infection as fungal infections require days to weeks to clear completely

D.After swishing, it's usually recommended to hold the medicine in the mouth for as long as possible before swallowing, to maximize its effectiveness

A. Document that the client experienced an anaphylactic reaction to the medication. B. Decrease the infusion rate on the IV. C. Apply cold compresses to the neck area. D. Change the IV infusion site.

Correct Answer is B

Explanation

A. The symptoms described (flushing and tachycardia) are not indicative of an anaphylactic reaction, which typically includes symptoms like difficulty breathing, hives, or swelling. Documenting it as an anaphylactic reaction would be misleading and could lead to inappropriate management.
B. Slowing the infusion rate can help mitigate the symptoms of Red Man Syndrome, which is often related to the rate of vancomycin administration. The recommended infusion rate for vancomycin is generally over at least 60 minutes, and reducing the rate can help alleviate symptoms.
C. Applying cold compresses should help with pain but as important like documentation.
D. The infusion should be continued and not used again for the client.

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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 providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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