A patient has been taking bimatoprost (Lumigan) for the last 2 months. Which statement by the patient indicates to the nurse a correct understanding of this drug therapy?
a. "When my eyes are red or itchy, I should wait until the next day to use my glau-coma medicine."
b. "Even though my intraocular pressure is now normal, I will continue to take the drug once daily."
c. "One indication that I have used too much of this drug is when my vision be-comes blurry or fuzzy."
d. "If I forget to take the eye drops one day, I should apply them as soon as I re-member them the next day and also take the regular dose for that day."
B
Primary open angle glaucoma is not cured by drugs and the eye drops must be used as prescribed continually for control of intraocular pressure. Prostaglandin agonists are applied just once daily. If one day's dose is forgotten, the patient should not take it along with the next day's dose. Overusing drugs from this class reduces their effectiveness. Eye redness and itchiness are ex-pected as temporary local responses to eye drugs. They are not a reason to withhold the drug.
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A student nurse asks the postanesthesia care unit (PACU) nurse, "Why does the patient come to the PACU prior to the medical-surgical unit?" The PACU nurse explains to the student nurse that:
A) The PACU allows the patient to recover from anesthesia in a stimulating environment to facilitate awakening and reorientation. B) The PACU allows the patient to recover from the effects of anesthesia; the patients stay in PACU until they are oriented, have stable vital signs, and are without complications. C) Frequently, patients are recovered in the medical-surgical unit, but hospitals are usually short of beds and the PACU is an excellent place to triage patients. D) The medical-surgical unit is frequently very busy and unable accept the patient from surgery, so the patients are observed and monitored in PACU until a bed is available.
The home health care nurse is preparing a care plan for a client admitted with anemia. The client currently lives alone and states, "I can't even take a shower without getting winded
" Which of the following would be the priority nursing diagnosis for this client? A) Activity intolerance B) Anxiety C) Hopelessness D) Altered nutrition: less than body requirements
The nurse is addressing a college class on the topic of domestic violence. Which information would the nurse be sure to convey to her students?
1. The American Nurses Association advocates client advocacy for all nurses to help identify and prevent violence against women. 2. The American Nurses Association has concluded that there is little nurses can do to eliminate violence. 3. The nurse who suspects abuse should ask the doctor to deal with it, per American Nurses Association guidelines. 4. The nurse who suspects abuse should ask the hospital's social work department to deal with it, per American Nurses Association guidelines.
Critically ill patients on a ventilator are at risk for ventilator-associated pneumonia (VAP). Sources of VAP include: (Select all that apply.)
a. bacteria in the oral pharynx. b. dental plaque. c. chlorhexidine rinses. d. frequent oral hygiene.