When collecting a medication history from a patient with primary open-angle glaucoma, the nurse identifies several drugs that could exacerbate glaucoma. Which drug poses a priority concern for this particular patient?

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ATI Pharmacology Book Questions

Question 1 of 5

When collecting a medication history from a patient with primary open-angle glaucoma, the nurse identifies several drugs that could exacerbate glaucoma. Which drug poses a priority concern for this particular patient?

Correct Answer: B

Rationale: Oxymetazoline, a decongestant, can exacerbate glaucoma by causing vasoconstriction and increasing intraocular pressure. Cyclobenzaprine (A) is not typically associated with worsening glaucoma. The nurse should prioritize identifying and addressing the use of oxymetazoline in this patient.

Question 2 of 5

The nurse completes medication education for the client receiving antihistamines. The nurse evaluates that learning has occurred when the client makes which statement?

Correct Answer: D

Rationale: First-generation antihistamines cause sedation. 'This medication could make me very sleepy' shows understanding, indicating effective education. Alcohol worsens sedation. Fluids aren't key. OTC doesn't mean safe. D ensures safety awareness, making it the best statement.

Question 3 of 5

When collecting a medication history from a patient with primary open-angle glaucoma, the nurse identifies several drugs that could exacerbate glaucoma. Which drug poses a priority concern for this particular patient?

Correct Answer: B

Rationale: Oxymetazoline, a decongestant, can exacerbate glaucoma by causing vasoconstriction and increasing intraocular pressure. Cyclobenzaprine (A) is not typically associated with worsening glaucoma. The nurse should prioritize identifying and addressing the use of oxymetazoline in this patient.

Question 4 of 5

A patient has been ordered the powdered form of the bile acid sequestrant colestipol. Which of the following does the nurse identify as true?

Correct Answer: D

Rationale: The correct statement is that the colestipol should be administered 1 hour before or 4 to 6 hours after any other oral medication. Bile acid sequestrants like colestipol can bind to other medications, reducing their absorption and effectiveness. Therefore, they should be taken separately from other medications to prevent any interactions. Additionally, colestipol should ideally be administered with meals to improve tolerability and adherence, although this was not one of the options given in the question.

Question 5 of 5

A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?

Correct Answer: C

Rationale: Thrombolytic drugs are used to dissolve blood clots (thrombi) that are causing blockages in blood vessels, such as the coronary arteries in the case of acute myocardial infarction (heart attack). By breaking down the clot, these drugs help to restore blood flow to the affected area, reducing damage to the heart muscle and improving the patient's prognosis. Thrombolytic therapy is time-sensitive and is most effective when administered soon after the onset of a heart attack to minimize the extent of heart muscle damage.

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