A nurse is teaching a patient how to administer trifluridine (Viroptic) for keratoconjunctivitis. The nurse will instruct the patient to apply the drops
A) once a day.
B) twice a day.
C) every 4 hours around the clock.
D) every 2 hours during waking hours.
D
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A 60-year-old man has been diagnosed with obstructive sleep apnea (OSA) based on his clinical symptoms and polysomnographic findings. What intervention should the nurse perform to assist this patient in the management of his health problem?
A) Encouraging the patient to adopt a later bedtime and earlier rising hour B) Encouraging the patient to avoid alcohol and hypnotic medications C) Teaching the patient deep breathing and coughing exercises to perform before going to bed D) Teaching the patient strategies for waking himself up when he experiences an apneic spell
A patient who has recently been diagnosed with a personality disorder has returned for a follow-up appointment. Which potential co-morbid disorder will the nurse include as a priority for assessment?
1. Cardiovascular disease 2. Insomnia 3. Substance abuse 4. Schizophrenia
The physician has ordered Oxacillin sodium 400 mg IM every 6 hours. The medication is supplied as reconstituted with 2.7 mL sterile water to yield 500 mg/3 mL. How many milliliters should the nurse administer?
A) 2 B) 2.4 C) 2.7 D) 3
A 33-year-old female complains of episodes of weakness of the left side of the face. Drooping of the left eyelid and weakness of the jaw muscle develops gradually throughout the day, and it is worse at night than the morning
The patient has a medical-surgical history of cholecystectomy at age 30. Otherwise, patient has no history of illness and takes no medications. Denies use of tobacco or alcohol. On physical examination, vital signs are T 98 degrees, 18 resps/min, pulse 66, and BP 110/60. Ptosis of the left eyelid is noted. Vision: 20/20 os, 20/20 od, and 20/20 ou. Heart: regular rate and rhythm, no murmurs. Lungs are clear to auscultation. Abdomen is non-tender with no organomegaly. Extremities: Skin is pink, cool to touch, and intact bilaterally. Left and right quadriceps muscle strength 5/5. DTRs left and right + 2/4. No clonus. Negative Homan's and Babinski's sign. Sensation to pinprick and cotton ball intact in extremities and equal bilaterally. Dorsalis pedis pulses +1/4 bilaterally. Eyelids: left-sided ptosis. No facial droop. Left and right cheek sensation to pinprick and cotton ball intact. Masseter muscle: 2/5 left versus 5/5 on right. EOMs intact. Gag reflex: uvula midline gag intact. Shrug and sternocleidomastoid muscle strength 5/5 bilaterally. Tongue: midline and strength 5/5 bilaterally. The following disorder(s) should be considered in the diagnosis: A. Bell's palsy B. Stroke C. Myasthenia gravis D. Multiple sclerosis