Title KEY - R12 NP5.docx ✅

● How to take pain medication and report pain not relieved by medication ● Importance of continued follow-up to maximize potential visual outcomes ● Measures to cope with visual loss, such as large screens, audiobooks, and additional lighting, and promote safety Source: Harding, M. (2023). Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 12th edition p. 426 7. Nurse Jenny will administer Betaxolol HCl (Betoptic) to the client. As a precaution, which of the following would she interpret as a serious adverse reaction? A. Photophobia B. Blurred vision C. Drop in blood pressure D. Exacerbation of asthma Answer: C Rationale: Beta-blockers are the preferred initial topical medications because of their efficacy, minimal dosing (can be used once each day), and low cost. By selectively blocking beta-adrenergic receptors in the eye, less aqueous humor is produced by the ciliary bodies. The fluid also appears to be absorbed slightly faster as a result of this drug therapy. Since patient is a known hypertensive, drugs used to control hypertension can potentiate the effects of systemic beta blockers and can cause an unsafe drop in heart rate and blood pressure. Source: Ignatavicius, D., Workman, M.L. & Heimgartner, N. (2018). Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care. 9th edition p. 1926 8. Which assessment finding is essential for Nurse Jenny to report for a client who works in the evening and takes Pilocarpine (Pilocar)? A. Hypotension B. Urinary retention C. Constipation D. Decreased dark adaptation Answer: D Rationale: Cholinergic drugs lower IOP by decreasing the amount of aqueous humor produced and by improving flow of the fluid. They make the pupil smaller (miosis) but, at the same time, make more room between the iris and the lens, allowing the fluid to flow through the pupil better even though it is smaller. Teach the patient to use good light when reading and to take care in darker rooms. The pupil of the eye will not open more to let in more light, and it may be harder to see objects in dim light. This problem can increase the risk for falls. Source: Ignatavicius, D., Workman, M.L. & Heimgartner, N. (2018). Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care. 9th edition p. 1926 Situation: Data collection is imperative to gather information relevant to the research purpose, thereby, making this as one of the most time-consuming phase during research. Nurse Rico studies a variety of techniques to explore the study variables. 9. Nurse Rico intends to apply a set of structured interview questions during data collection. He knows that one major disadvantage of using a structured-interview method is __________________. A. The same questions may not be asked of all interviewees B. The answers are not recorded in the interviewee's own words C. The questions are all asked in the same order D. The interviews are often too long Answer: C Rationale: In a structured interview, the researcher has a structured list of questions that are answered in order, and deviation from the questions does not occur. In contrast, a semistructured interview is one in which some general questions are constructed, but the interviewer is open to allowing new ideas or topics to be introduced by the interviewee. Source: Nieswiadomy. R.M. & Bailey, C. (2018). Foundations of Nursing Research. 7th edition p. 70 10. When selecting a research design, Nurse Rico understands that by utilizing ethnography, he will have __________________________. A. An interview with cultural minority