The nurse prepares to administer cyclosporine (Restasis) eye drops to the client with dry eyes. Which of the following should the nurse implement before instilling the eye drops?
1. Apply mild pressure over eyes after eye drops.
2. Apply ointment along inner edge of lower eyelid.
3. Cleanse periorbital crusting with a warm face cloth.
4. Instill cyclosporine eye drops before other eye drops.
3
3. Clients with dry eyes frequently awaken with encrusted eyes; before instilling any eye drops, the nurse cleanses the periorbital area with a warm face cloth to remove the debris gently.
1. The nurse can apply pressure to the inner corner of the eye after instillation to de-crease systemic absorption of the medication but should not apply pressure over the entire eye.
2. Cyclosporine (Restasis) is not available as ointment.
4. The nurse administers cyclosporine (Restasis) eye drops after other eye medica-tions. Cyclosporine is often administered with glucocorticoid eye drops; the research behind this practice supports instilling the cyclosporine (Restasis) after the glucocor-ticoid. The reason for the practice is unclear but potentially is related to inflammation; glucocorticoids are anti-inflammatory agents used for immunosuppression and the cyclosporine potentially benefits from the decreased inflammation.
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The nurse is caring for a patient with gastroesophageal reflux disease (GERD). What should the nurse include when teaching the patient about this health problem?
Select all that apply. 1. Limit last food intake to 3 hours before bedtime. 2. Eat the largest meal of the day at midday. 3. Sleep in a bed with the head elevated 6 to 8 inches. 4. Follow a daily exercise routine. 5. Drink coffee with meals.
The nurse is preparing to administer meperidine (Demerol), which is an opioid analgesic, and promethazine (Phenergan), which is an antiemetic and antihistamine. The nurse understands that these drugs are given in combination for which reason?
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The nurse is reviewing the purpose of insulin with a patient newly diagnosed with type 2 diabetes mellitus
What will the nurse teach the patient about the function of insulin in the body? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. It moves glucose from the blood into the body cells to be used as fuel. 2. It stimulates the liver to store extra glucose. 3. It is used to create energy. 4. It helps to bind oxygen to the blood. 5. It aids in the digestion of protein.