A patient with severe allergic conjunctivitis who has been using cromolyn ophthalmic drops for 2 days calls the nurse to report persistence of the symptoms
When the nurse explains that it takes several weeks for maximum benefit to occur, the patient asks if there is something else to use in the meantime. The nurse will suggest that the patient discuss which drug with the provider? a. An ophthalmic demulcent
b. H1-receptor antagonists
c. Glucocorticoid drops
d. Ocular decongestants
B
Histamine receptor antagonists can be used to provide immediate symptom relief, so until the cromolyn has provided relief, they may be useful for treating symptoms. Demulcents only add moisture to the eye and do not prevent chemical mediators from causing symptoms. Glucocorti-coids are used for inflammatory disorders of the eye but are not first-line agents. Ocular decon-gestants are used to treat redness caused by minor irritants.
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The patient is admitted with acute pancreatitis. The nurse should:
a. assess pain level because pancreatic pain is unique in character. b. examine laboratory values for low amylase levels. c. expect lipase levels to decrease within 24 hours. d. evaluate C-reactive protein as a gauge of severity.
The nurse is teaching a patient who will begin taking bethanechol (Urecholine). Which statement by the patient indicates a need for further teaching?
a. "Excessive sweating is a normal reaction to this medication." b. "Excess salivation is a serious side effect." c. "I should get out of bed slowly while taking this drug." d. "I will not take the drug if my heart rate is less than 60 beats per minute."
A hospitalized patient who refuses to eat because she fears that the kitchen personnel are poisoning her food is experiencing
A) Hallucinations B) Anorexia C) Agoraphobia D) Delusions
A patient with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
a) The nurse will demonstrate the proper technique for trimming toenails b) The patient will list three ways to protect the feet from injury by discharge d) The patient will understand the rationale for proper foot care after instructions