A client is using an ophthalmic beta-blocking agent for the treatment of glaucoma. Which instruction does the nurse give to the client to prevent orthostatic hypotension?
a. "Change positions quickly after adminis-tering the drops."
b. "Take your pulse at least four times daily."
c. "Apply pressure to the inside corner of your eye when administering the drops."
d. "Lay down for 10 minutes after adminis-tering the drops."
C
Nasal punctal occlusion during eyedrop instillation keeps the drug in contact with the eye struc-tures longer and decreases systemic absorption and side effects. Systemic distribution of the drug is what may cause orthostatic hypotension. The other answers will not help prevent orthostatic hypotension.
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A 35-year-old woman who has been in recovery from alcoholism for 2 years presents at her primary care physician's office with chronic hip pain
She reports that as part of her commitment to her recovery, she began exercising regularly about a year earlier. After a month or two, her hip began to hurt when she ran on the treadmill. She stretches, has had a physical trainer check her form to ensure that it is correct, and rests adequately between each workout. Six months ago, the pain began waking her at night, and now it is constant. She is not aware of any injury to her hip and has no other outward symptoms. Which of the following is most likely to be the cause of her pain? A) Hematogenous osteomyelitis B) Osteomyelitis with vascular insufficiency C) Tuberculosis of the bone D) Osteonecrosis
A patient who is a chronic alcoholic is admitted to the hospital. Admission laboratory work reveals a magnesium level of 1.2 mEq/L. The prescriber orders intravenous magnesium sulfate in a 10% solution at a rate of 10 mL/min
What will the nurse do? a. Administer the IV dose as ordered and have calcium gluconate on hand. b. Administer the IV dose and make prepa-rations for mechanical ventilation. c. Hold the IV dose until the infusion rate has been clarified with the provider. d. Request an order for renal function tests before administering the IV dose.
The nurse is reviewing facts about pharmacology for a review course. The term legend drug refers to which item?
a. Over-the-counter drugs b. Prescription drugs c. Orphan drugs d. Older drugs
You are working in the clinic when patient XX reports for his appointment. You recognize him as a new neighbor. As you room him, he proudly tells you he is on parole, a convicted sex offender who has done his time and is in treatment
He is confident he will not offend again but is expressing fairly strong statement about his displeasure at seeing his picture all over his new neighborhood. You try to remember your professional role and opt to say: A) "People are fearful. When they hear of someone hurting children, they tend to want you isolated." B) "You have committed several serious crimes, yet you seem angry that people react negatively to you" C) "You're lucky they are not being more verbal toward you and your crimes." D) "You're feeling unfairly treated in your new neighborhood?"