A patient with ocular hypertension will begin using brimonidine [Alphagan] for long-term reduction of increased ocular pressure (IOP). The nurse teaches the patient about this medication
Which statement by the patient indicates understanding of the teaching? a. "After using the drops, I should wait 15 minutes before putting in contacts."
b. "Because this is a topical medication, drowsiness will not occur."
c. "I will not have cardiovascular side effects when using this medication."
d. "If my eyes begin to itch or turn red, it means I am allergic to this drug."
A
Patients using this drug should wait 15 minutes before putting in contacts, because soft contacts can absorb the drug. Even though the medication is topical, it can be absorbed systemically, causing systemic side effects such as drowsiness or lowered blood pressure. Itching and hyper-emia may occur and do not indicate allergy.
You might also like to view...
The nurse working in a pediatrician's office admits an 8-year-old child whose growth was within the 50th percentile until the past year, when his weight failed to increase. He is now in the 10th percentile for growth
The child's mother reports that he sleeps all the time and all he wants to do when he is awake is play on the computer. His grades have been slipping, and his mother reports he claims he doesn't feel well and can't go to school at least 2-3 times per week. The nurse assesses the child and asks him: 1. "What is school like this year?" 2. "Are you feeling depressed?" 3. "Do you like school?" 4. "Sounds like you're not doing well in school. Why is that?"
The nurse has asked a nurse's aide to greet a postoperative patient who has just arrived on the unit and to determine whether he is in stable condition. This act of delegation is an example of a nurse inappropriately delegating:
a. assessment of the patient. b. evaluation of an intervention. c. nursing judgment. d. teaching to a delegate.
A nursing assistant (NA) reports to the nurse that a postsurgical patient is complaining of pain that she rates as an eight on a ten-point scale
The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. What is the nurse's best response? A) "Pain often comes and goes with postsurgical patients. Please ask her about pain again in about 30 minutes." B) "We need to provide pain medications because it is the law, and we must always follow the law." C) "Professionally, I believe 'pain is whatever the patient says it is.'" D) "Patients often misreport pain 'to get our attention when we are busy.'"
The Defense Department is providing education on potential bioterrorism agents. The instructor asks the nurses to identify the correct causative agent for an illness. Which response best demon-strates understanding?
a. Ricin; castor bean oil b. Tularemia; deerfly c. Smallpox; infected flea d. Pneumonic plague; mice