Page 1994 - Saunders Comprehensive Review For NCLEX-RN

▪ Loratadine

▪ Cetirizine
▪ Diphenhydramine
▪ Fexofenadine
▪ Levocetirizine
▪ Phenylephrine
▪ Pseudoephedrine

Practice Questions

695. Betaxolol hydrochloride eye drops have been prescribed for a client with
glaucoma. Which nursing action is most appropriate related to monitoring
for side and adverse effects of this medication?
1. Assessing for edema
2. Monitoring temperature
3. Monitoring blood pressure
4. Assessing blood glucose level
696. The nurse is preparing to administer eye drops. Which interventions should
the nurse take to administer the drops? Select all that apply.
1. Wash hands.

2. Put gloves on.

3. Place the drop in the conjunctival sac.
4. Pull the lower lid down against the cheekbone.

5. Instruct the client to squeeze the eyes shut after instilling the

eye drop.
6. Instruct the client to tilt the head forward, open the eyes, and
look down.
697. The nurse prepares a client for ear irrigation as prescribed by the primary
health care provider. Which action should the nurse take when performing
the procedure?
1. Warm the irrigating solution to 98.6° F (37.0° C).
2. Position the client with the affected side up following the
irrigation.
3. Direct a slow, steady stream of irrigation solution toward the
eardrum.
4. Assist the client to turn her or his head so that the ear to be
irrigated is facing upward.
698. The nurse is providing instructions to a client who will be self-administering
eye drops. To minimize systemic absorption of the eye drops, the nurse
should instruct the client to take which action?
1. Eat before instilling the drops.
2. Swallow several times after instilling the drops.

1994