68-year-old client has been diagnosed with open-angle glaucoma. The healthcare provider prescribes pilocarpine (Isopto Carpine) eye drops. What action of
... [Show More] this drug makes it a useful treatment for the client's condition?
The outflow of aqueous humor in the eyes is increased.
The nurse is preparing to apply a surface anesthetic agent for a client. Which action should the nurse implement to reduce the risk of systemic absorption?
A. Apply the anesthetic to mucous membranes.
B. Limit the area of application to inflamed areas.
C. Avoid abraded skin areas when applying the anesthetic.
D. Spread the topical agent over a large surface area.
C. Avoid abraded skin areas when applying the anesthetic
Rationale:
To minimize systemic absorption of topical anesthetics, the anesthetic agent should be applied to the smallest surface area of intact skin (C). Application to the mucous membranes poses the greatest risk (A) of systemic absorption because absorption occurs more readily through mucous membranes than through the skin. Inflamed areas generally have an increased blood supply, which increases the risk of systemic absorption, so (B) should be avoided. A large surface area increases the amount of topical drug that is available for transdermal absorption, so the smallest area should be covered, not (D).
The healthcare provider prescribes the anticonvulsant carbamazepine (Tegretol) for a client with a seizure disorder. The nurse should instruct the client to notify the healthcare provider if which condition occurs?
Experiences a sore throat
chemotherapeutic regimen with doxorubicin HCl (Adriamycin) is being planned for a client recently diagnosed with cancer. What diagnostic test results should the nurse review prior to initiating this treatment?
Electrocardiogram (ECG)
A client who is HIV positive is receiving combination therapy with the antiviral medication zidovudine (Retrovir). What instruction should the nurse include in this client's teaching plan?
Return to the clinic every 2 weeks for blood counts
A 67-year-old client is discharged from the hospital with a prescription for digoxin (Lanoxin) 0.25 mg daily. Which instruction should the nurse include in this client's discharge teaching plan?
Take and record radial pulse rate daily.
Benztropine mesylate (Cogentin) and levodopa (Dopar) are prescribed for a client with Parkinson's disease. After a few days of therapy, the client complains of a "dry mouth" and "dizziness." What response by the nurse would be most appropriate?
"Chew gum to relieve the dry mouth and move slowly when assuming a standing position to reduce the dizziness
Vancomycin (Vancocin) is prescribed for a client who has a history of endocarditis and is to undergo minor dental surgery. The nurse knows that this drug
may be administered PO.
Which assessment finding could indicate to the nurse that a client is experiencing an adverse effect of the gastrointestinal stimulant metoclopramide HCl (Reglan)?
Demonstrates Parkinson-like symptoms, such as cogwheel rigidity
Methylphenidate HCl (Concerta) 18 mg PO is prescribed for daily administration to a 10-year-old child with attention-deficit/hyperactive disorder (ADHD). In preparing a teaching plan for the parents of this newly diagnosed ADHD child, which instruction is most important for the nurse to provide the parents? [Show Less]