The nurse is reviewing the medical record of a patient and notes an order for

The nurse is reviewing the medical record of a

This preview shows page 84 - 86 out of 89 pages.

1.The nurse is reviewing the medical record of a patient and notes an order for ophthalmic dexamethasone (Decadron) solution. The nurse knows that indications for ophthalmic dexamethasone include which conditions? (Select all that apply.) a.Uveitisb.Allergic conditionsc.Removal of foreign bodiesd.Ocular infectionse.Glaucomaf.Conjunctival inflammationANS:A, B, C, F Dexamethasone (Decadron) is used to treat inflammation of the eye, eyelids, conjunctiva, and cornea, and it may also be used in the treatment of uveitis, iridocyclitis, allergic conditions, and burns and in the removal of foreign bodies. It is not indicated for infections or glaucoma. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 932 TOP: NURSING PROCESS: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies OTHER 1.The nurse is administering ophthalmic drops. Place the following administration steps in the correct order.
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D, E, C, A, B, F Before applying eye medications, clean any debris from the eye, if needed, and have the patient tilt the head back and look up at the ceiling. Drops are placed into the conjunctival sac, and then the eye is closed gently. Pressure may be applied to the inner canthus/lacrimal sac for 1 minute to reduce systemic absorption, and any excess medication can then be removed from around the eyes. DIF: COGNITIVE LEVEL: Applying (Application) REF: pp. 934-935 TOP: NURSING PROCESS: Implementation MSC: NCLEX: Safe and Effective Care Environment: Management of Care 2. A patient will be receiving mannitol (Osmitrol), 1.5 g/kg IV 1 hour before ocular surgery. The patient weighs 110 pounds. The medication is available as a 25% solution. Based on this patient’s dose, calculate how many milliliters of mannitol this patient will receive, using the 25% solution. ANS: 300 mL Convert the patient’s weight to kilograms: 110 lbs 2.2 = 50 kg Calculate the dose of mannitol: 50 kg 1.5 g/kg = 75 g of mannitol Using the 25% solution, which contains 25 g of mannitol in 100 mL of solution, calculate the milliliters needed: 25 g : 100 mL :: 75 g : x mL (25 x ) = (100 75); 25 x = 7500; x = 300 mL of the 25% mannitol solution DIF: COGNITIVE LEVEL: Applying (Application) REF: p. N/A TOP: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies Chapter 58: Otic Drugs Test Bank MULTIPLE CHOICE
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