Author Question: A nurse's neighbor says, There's a goopy fluid draining from my right ear. What do you think I ... (Read 19 times)

s.tung · **on:** Jul 23, 2018

A nurse's neighbor says, There's a goopy fluid draining from my right ear. What do you think I should do? Select the nurse's best response.

a. It sounds like you might have otitis media. Warm compresses applied to the external ear will help your problem.
b. If you are not experiencing pain in your ear, you can expect the symptoms to stop without any treatment in about 3 days.
c. Irrigate your right ear with a solution of half hydrogen peroxide and half warm water for relief from this problem.
d. The fluid could be caused by several different ear problems. You should see your health care provider as soon as possible.

Question 2

A patient who has been taking lisinopril (Zestril) for 2 weeks complains of a dry cough. What patient education should the nurse provide regarding this complaint?

a. The cough will subside within 5 to 7 days.
b. The cough is an adverse effect of the medication and may lead to angioedema.
c. Lisinopril also can have a hypotensive effect with the first dose.
d. The cough is a common side effect of the medication.

kkenney · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

d

Answer to Question 2

D
A cough occurs in 5 to 10 of patients taking ACE inhibitors and is due to the accumulation of bradykinin.
The cough will subside within 3 days of discontinuing the medication and should be totally ab-sent within 10 days of discontinuation.
The cough will not lead to angioedema.
The patient has been taking the medication for 2 weeks already, therefore it is too late to discuss the first-dose effect; that should have been done before the first dose of the medication was ad-ministered.