comprehensive final quiz.docx - Topical antimicrobial...

 Topical antimicrobial medication
o Topical antimicrobial medications (particularly broad-spectrum antimicrobials) help
prevent bacteria from entering the body when a client has an impairment of the
protective covering of the skin, as with burns. It creates a protective barrier, along
with the dressing, between bacteria and the exposed body tissues. This therapy helps
prevent infection.
 Sertraline with St. John wort
o Taking the antidepressant sertraline and the herbal supplement St. John’s wort
concurrently but 2 hr apart puts the client at risk for a serious medication interaction.
o Taking the antidepressant sertraline and the herbal supplement St. John’s wort
together puts the client at risk for serotonin syndrome.
o Taking the antidepressant sertraline with St. John’s wort, an herbal supplement used
in the treatment of mild to moderate depression, can cause a serious medication
interaction.
o Taking the antidepressant sertraline and the herbal supplement St. John’s wort
concurrently puts the client at risk for a serious medication interaction. Antacids will
not prevent it.
 MVC- pain, bruising, swelling and displacement of bones
o The nurse should apply the safety and risk reduction priority-setting framework. This
framework assigns priority to the factor or situation posing the greatest safety risk to
the client. When there are several risks to client safety, the one posing the greatest
threat is the highest priority. The nurse should use Maslow’s Hierarchy of Needs, the
ABC priority-setting framework, or nursing knowledge to identify which risk poses
the greatest threat to the client. The greatest risk to this client is impaired circulation
to the limb from trauma and the resulting edema; therefore, the first action is to check
the circulation, sensation, and movement distal to the level of the injury. If the nurse
notes a weak or absent pulse distal to the injury, the limb’s circulation is
compromised, and immediate action is critical.
 Education about LASIK surgery
o Clients should not wear soft contact lenses for 2 to 3 weeks or hard contact lenses for
4 weeks prior to LASIK. They limit oxygen intake to the cornea, which can slow
postoperative healing.
o LASIK is a type of refractive laser eye surgery ophthalmologists perform to correct
myopia, hyperopia, and astigmatism, which are common causes of nearsightedness.
However, overcorrection or undercorrection of refractive errors is possible, so some
clients will need prescription eyeglasses despite having had LASIK surgery.
o The client might receive sedation prior to the procedure and postoperatively might
have blurry vision, tearing, and hypersensitivity to light.
o For some clients, vision is clear an hour after surgery; however, it can take up to 4
weeks for complete healing and optimal vision.