When teaching a client with a new prescription for Timolol how to insert eye drops, which instruction should the nurse include?

Correct Answer: C

Rationale: In teaching a client how to insert eye drops of Timolol, the nurse should include the instruction to drop the prescribed amount of medication into the center of the conjunctival sac (Option C) because this method allows for proper absorption of the medication and minimizes systemic effects. Placing the drops directly on the cornea (Option B) can cause discomfort and potential corneal damage. Pressing a finger on the inside corner of the eye (Option A) is a technique used to prevent systemic absorption in systemic medications, not for ophthalmic drops. Wiping the eyes with a tissue immediately after application (Option D) can remove the medication before it has a chance to be absorbed. Educationally, it is important to understand the anatomy and physiology of the eye to ensure proper administration of eye drops. Teaching correct techniques not only ensures the effectiveness of the medication but also prevents potential harm to the eye. Understanding the rationale behind each instruction helps the client to adhere to the prescribed regimen and achieve optimal therapeutic outcomes.

Correct Answer: B

Rationale: The correct instruction for a client using a Nitroglycerin transdermal patch is to remove the patch each day, usually at bedtime, to prevent tolerance. The client should then apply a new patch the next morning. This practice helps maintain the effectiveness of the medication and prevents the body from becoming accustomed to the continuous presence of nitroglycerin.

Correct Answer: C

Rationale: The nurse should monitor the hematocrit level to evaluate the effectiveness of Epoetin Alfa therapy since it stimulates red blood cell production. Hematocrit reflects the volume of red blood cells in the blood, providing a direct measure of the therapy's impact on increasing red blood cell mass and addressing anemia.

Correct Answer: B

Rationale: The correct instruction for a client with a prescription for Oxycodone/Acetaminophen is to avoid taking additional Acetaminophen while on this medication. Combining medications containing Acetaminophen can lead to exceeding the maximum recommended dose and increase the risk of liver toxicity. Therefore, it is crucial for the nurse to emphasize the importance of not taking extra Acetaminophen while on this prescription to ensure the client's safety and well-being.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) "This medication can absorb into your contacts." This instruction is crucial because Brimonidine ophthalmic drops are known to be absorbed by soft contact lenses, which can lead to decreased drug efficacy and potential irritation to the eyes due to the preservatives present in the medication. Option A) "This medication can stain your contacts" is incorrect because Brimonidine does not typically stain contact lenses. Option B) "This medication can cause your pupils to constrict" is unrelated to the interaction between the medication and contact lenses. Option D) "This medication can slow your heart rate" is not a known side effect of Brimonidine ophthalmic drops. Educationally, this question highlights the importance of understanding medication interactions with other products, such as contact lenses. It emphasizes the need for thorough patient education to ensure the safe and effective use of medications, especially those involving ocular administration. Nurses must be vigilant in providing accurate information to prevent potential complications and promote positive health outcomes for their patients.