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NURS 1140 Final Test with Questions and Correct Answers| Latest Update

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To prevent systemic side effects, what preventive action can the nurse take when instilling eye drops? A.Wipe applicator prior to use B.Gently press down the tear duct for 3-5 minutes after dosing C.Wipe eyelids with a tissue after drops are instilled D.Perform hand hygiene - Answer B.Gently p...

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  • August 22, 2024
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  • NURS 1140
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NURS 1140 Final Test with Questions and
Correct Answers| Latest Update
To prevent systemic side effects, what preventive action can the nurse take when
instilling eye drops?
A.Wipe applicator prior to use
B.Gently press down the tear duct for 3-5 minutes after dosing
C.Wipe eyelids with a tissue after drops are instilled
D.Perform hand hygiene - Answer B.Gently press down the tear duct for 3-5 minutes
after dosing


What intervention could the nurse perform for a patient just given alpha-adrenergic
agents for the eye? Select all that apply.
A.Dim the lights in the room
B.Provide the patient a pair of sunglasses
C.Open the curtains
D.Provide adequate hydration - Answer A, B


Category for latanoprost - Answer Prostaglandin Agonists


Action of latanoprost - Answer increases outflow of aqueous humor


Contraindications for latanoprost - Answer closed angle glaucoma
use of thimerosal
eye trauma/bleeding


Side effects of latanoprost - Answer ○Lacrimation (tears)

,○Conjunctival irritation
○Burning and stinging of the eye
○Change in eye color pigmentation and eyelids
○Increased growth/ thickness of eyelashes


latanoprost interactions - Answer Thimerosal- causes precipitate


Category for bacitracin - Answer Ophthalmic Antibiotics


Indications for bacitracin - Answer Superficial eye infections
Ophthalmia Neonatorum


Contraindications for bacitracin - Answer If patient has known hypersensitivity to
bacitracin or antibiotics
Check with physician for any specific contraindications if other medications are taken or
conditions the patient may have
Bleeding/ Trauma


Side effects of bacitracin - Answer Vision may be blurred because of the ointment going
on the eye
Irritation
Stinging
Burning
Lacrimation


Category of aspirin - Answer Acetylsalicylic acid NSAID

, Salicylate method of action - Answer blocks the effects of cyclooxygenase-1 (COX-1) and
COX-2 enzymes, inhibiting prostaglandin synthesis and decreasing platelet aggregation


Salicylate contraindications - Answer Children with fever, flu, chickenpox
bleeding disorders, Warfarin use
asthma/allergies to NSAIDS


Salicylate side effects - Answer upset stomach, heartburn;
drowsiness; or
mild headache


Severe side effects of salicylates - Answer ringing in your ears, confusion, hallucinations,
rapid breathing, seizure (convulsions);
severe nausea, vomiting, or stomach pain;
bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;


Salicylate interactions - Answer Warfarin, Alcohol


Classification of ketorolac - Answer NSAID


Action of ketorolac, ibuprofen - Answer COX-1 and COX-2 inhibitor, inhibits
prostaglandin synthesis


Ketorolac consideration - Answer Should only be used up to 5 days


Ketorolac black box warning - Answer GI bleeding, MI, Stroke,
Do not use in labor/delivery

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