Author Question: The primary care NP teaches a patient how to instill eye drops for a prescription that requires two ... (Read 70 times)

mrsjacobs44 · **on:** Jul 24, 2018

The primary care NP teaches a patient how to instill eye drops for a prescription that requires two drops twice daily. Which statement by the patient indicates understanding of the teaching?

a. I should gently massage my eyes for 3 to 5 minutes after instilling the drops.
b. I should put in one drop and wait 5 minutes before putting in the other one.
c. To make sure the medicine is evenly distributed, I should blink several times.
d. I may continue wearing my soft contact lenses while I am using this medication.

Question 2

The primary care nurse practitioner (NP) sees a patient for a physical examination and orders laboratory tests that reveal low-density lipoprotein (LDL) of 100 mg/dL, high-density lipoprotein (HDL) of 30 mg/dL, and triglycerides of 350 mg/dL.

The patient has no previous history of coronary heart disease. The NP should consider prescribing: a. ezetimibe (Zetia).
b. gemfibrozil (Lopid).
c. simvastatin (Zocor).
d. nicotinic acid (Niaspan).

yasmina · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
One drop of medication is all the eye can retain. If more than one drop is used, teach the patient to wait 5 minutes before applying the second drop. The eyes should not be rubbed after instillation of the drops. Patients should look down for a few seconds and then close the eyes. Soft contact lenses can absorb the medication and should not be worn.

Answer to Question 2

B
Fibric acid derivatives, such as gemfibrozil, are indicated for reducing the risk that coronary heart disease may develop in patients without a history of coronary heart disease who have low HDL cholesterol levels and elevated triglyceride levels. This patient's LDL is within normal limits, so a 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor, such as simvastatin, is not indicated. Ezetimibe is a selective cholesterol absorption inhibitor, used to reduce total and LDL cholesterol. Nicotinic acid is used to treat hyperlipidemia in patients who have failed dietary therapy.