The student nurse is administering an ophthalmic adrenergic ...

[littleanan]

The student nurse is administering an ophthalmic adrenergic agonist. What action would reflect the need for further education about how to administer a medication ophthalmically?
 
  A) Rests the tip of the dropper against the lower eyelid
  B) Grasps the lower eyelid and pulls it away to form a pocket
  C) Applies gentle pressure to the inside corner of the eye for 3 to 5 minutes
  D) Instructs the patient to close his or her eyes and look downward

Question 2

The nurse is caring for a patient who has been taking androgens and has been admitted to the ICU following a car accident.
 
  What lab results will the nurse interpret as more indicative of androgen therapy than actual disease states? (Select all that apply.) A) Decreased thyroid function
  B) Increased creatinine levels
  C) Increased creatinine clearance
  D) Elevated liver enzymes
  E) Increased white blood cell (WBC) count

[micaelaswann]

Answer to Question 1

A
Feedback:
First, wash hands thoroughly. Do not touch the dropper to the eye or to any other surfaces. Have the patient tilt his or her head back or lie down and stare upward. Gently grasp the lower eyelid and pull the eyelid away from the eyeball. Instill the prescribed number of drops into the lower conjunctival sac and then release the lid slowly (Fig. 30.1). Have the patient close the eye and look downward. Apply gentle pressure to the inside corner of the eye for 3 to 5 minutes. Do not rub the eyeball and do not rinse the dropper. If more than one type of eyedrop is being used, wait 5 minutes before administering the next one.

Answer to Question 2

A, B, C
Feedback:
While a patient is taking androgens, thyroid function may be decreased, as well as increased creatinine and creatinine clearance, results that are not associated with disease states. These effects can last up to 2 weeks after the discontinuation of therapy. Elevated liver enzymes may indicate a potentially life-threatening effect that has been documented is hepatocellular cancer. Increased WBC count would indicate an infection. Increased liver enzymes and WBC are not associated with androgen therapy but instead indicate a disease state.