After administering eye drops to a child, the nurse applies ...

[dejastew]

After administering eye drops to a child, the nurse applies gentle pressure to the inside corner of the eye at the nose for which reason?
 
  A) To promote dispersion over the cornea
  B) To enhance systemic absorption
  C) To ensure the medication stays in the eye
  D) To stabilize the eyelid

Question 2

A child with Duchenne muscular dystrophy is to receive prednisone as part of his treatment plan. After teaching the child's parents about this drug, which statement by the parents indicates the need for additional teaching?
 
  A) We should give this drug before he eats anything.
  B) We need to watch carefully for possible infection.
  C) The drug should not be stopped suddenly.
  D) He might gain some weight with this drug.

[ambernicolefink]

Answer to Question 1

Ans: C
Punctal occlusion, or gentle pressure to the inside corner of the eye at the nose, helps to slow systemic absorption and ensure that the medication stays in the eye. Having the head lower than the body aids in dispersing the medication over the cornea. Placing the heel of the hand on the child's forehead and then retracting the lower lid helps to stabilize it.

Answer to Question 2

Ans: A
Corticosteroids such as prednisone can cause gastric upset, so the medication should be given with food to reduce this risk. The drug may mask the signs of infection, so the parents need to monitor the child closely for any changes. Treatment with this drug should not be stopped abruptly due to the risk for acute adrenal insufficiency. Common side effects of this drug include weight gain, osteoporosis, and mood changes.