The client is to have cataract surgery in a few hours. Which drug should the nurse be prepared to administer for the purpose of reducing intraocular pressure?
A. Atropine (IsoptoAtropine)
B. Acetazolamide (Diamox)
C. Phenylephrine (Neo-Synephrine)
D. Cyclopentolate hydrochloride (Cyclogyl)
B
Acetazolamide is a carbonic anhydrase inhibitor and decreases the secretion of aqueous humor from the zonules of the eye, resulting in a decreased intraocular pressure. Drugs that result in mydriasis are not used in acute angle glaucoma.
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A 75-year-old patient and his 40-year-old daughter both have an intestinal virus with complaints of vomiting and diarrhea. Why is the nurse concerned about the patient being at risk for dehydration?
A) The patient is on a fixed income B) The virus will make changes to the patient's gastrointestinal system C) The vomiting and diarrhea will cause a reduction in intracellular fluids D) The patient does not want to bother a health care professional for a common virus
The nurse is teaching management of type 2 diabetes mellitus to a group of older adults. Which participant statement indicates that additional instruction is needed?
1. "I will keep some hard candy with me at all times." 2. "I will start a walking program with my neighbors." 3. "If I'm sick, I will call my doctor to see if I should take my medicine." 4. "If I start to feel nervous, sweaty, or shaky, I will drink a glass of water."
The nurse is discussing with a nutrition class the health risks to infants of women who gain excessive weight during pregnancy. What risks should the nurse discuss with the class?
A) High Apgar score C) Seizures B) Small for gestational age D) Hyperglycemia
A group is in the working phase. One member says, "That is the stupidest thing I've ever heard. Everyone whines and tells everyone else what to do. This group is a total waste of my time." Which comment by the group leader would be most therapeutic?
a. "You seem to think you know a lot already. Since you know so much, perhaps you can tell everyone why you are back in the hospital?" b. "I think you have made your views clear, but I wonder if others feel the same way. How does everyone else feel about our group?" c. "It must be hard to be so angry." Direct this comment to another group member, "You were also angry at first but not now. What has helped you?" d. "I would like to remind you that one of our group rules is that everyone is to offer only positive responses to the comments of others."