A client with acute-angle glaucoma has several medications ordered. Which medications does the nurse question? (Select all that apply.)
a. Acetazolamide (Diamox)
b. Pilocarpine (Pilocar)
c. Atropine (Isopto Atropine)
d. Latanoprost (Xalatan)
e. Timolol (Timoptic)
f. Epinephrine
C, F
Atropine and epinephrine are mydriatics, which decrease the outflow of aqueous humor, resulting in increased intraocular pressure (IOP). Diamox is a carbonic anhydrase inhibitor that decreases the formation of aqueous humor. Pilocar is a miotic that enhances outflow of aqueous humor. Xalatan is a prostaglandin agonist that improves outflow, and Timoptic is a beta blocker that decreases the formation of aqueous humor. All these help decrease IOP.
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The operating room environment is deliberately kept cool. When the nurse assesses the patient in the post anesthesia care unit, the patient is shivering. The nurse needs to understand that shivering may do which of the following?
a. Be a side effect of anesthesia. b. Indicate a problem of the hypothalamus. c. Indicate the beginning of the infectious process. d. Be a normal response to stabilize blood pressure.
A 76-year-old patient is receiving IV heparin 5,000 units every 8 hours. An activated thromboplastin time (aPTT) is drawn 1 hour before the 8:00 AM dose; the aPTT is at 3.5 times the control value. What is the nurse's priority action?
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A client has a diagnosis of chronic pain. The physician has prescribed tramadol hydrochloride (Ultram) for the pain. The patient also receives therapeutic touch (TT) from a practitioner three times a week. In this situation,
TT is considered to be which of the following? a. A complementary modality b. An alternative modality c. A placebo response d. Holistic healthcare
Adolescents most likely to smoke, abuse substances, perform poorly in school, and be depressed are those who are:
a. from dual-income families. b. from families that emphasize strong reli-gious beliefs. c. from deprived socioeconomic groups. d. unsupervised after school.