Correct Answer: A

Rationale: The correct answer is A: Return the medication to the pharmacy. Expired medications may lose their potency or become ineffective, potentially causing harm to the client. By returning the medication to the pharmacy, the nurse ensures that the client receives a safe and effective medication.

B: Notifying the provider may be necessary, but the immediate action should be to return the expired medication.

C: Giving the medication is unsafe and goes against best practice.

D: Discarding the medication is acceptable, but returning it to the pharmacy ensures proper disposal and replacement.

Correct Answer: D

Rationale: The correct answer is D: You should report any tendon discomfort you experience while taking this medication.

Rationale: Ciprofloxacin belongs to a class of antibiotics known as fluoroquinolones, which are associated with tendonitis and tendon rupture.
Therefore, it is crucial for the client to report any tendon discomfort promptly to prevent serious complications.
Incorrect choices:
A: This medication does not typically cause photophobia, so wearing sunglasses is unnecessary.
B: Limiting fluid intake can lead to dehydration, which is not recommended while taking ciprofloxacin.
C: Taking an antacid with ciprofloxacin can decrease its absorption, reducing its effectiveness.
Summary: Reporting tendon discomfort is essential due to the risk of tendon issues with ciprofloxacin. The other choices are incorrect as they may not apply to this specific medication or can be potentially harmful.

Correct Answer: B

Rationale: The correct answer is B: I need to increase my fluid intake while taking this medication. This is correct because allopurinol can increase the risk of kidney stones, and increasing fluid intake helps prevent kidney stone formation. Option A is incorrect because aspirin can worsen gout symptoms. Option C is incorrect because allopurinol should be taken with food to reduce stomach upset. Option D is incorrect because taking an antihistamine for a rash from allopurinol is not recommended.

Correct Answer: D

Rationale: The correct answer is D: Drop prescribed amount of medication into the conjunctival sac. This is the correct action because timolol eye drops are meant to be instilled into the conjunctival sac to ensure proper absorption and effectiveness. By dropping the medication into the conjunctival sac, the nurse ensures that the medication comes into direct contact with the eye tissues. This method also helps prevent contamination of the eye drops.


Choice A is incorrect because using clean technique on the distal portion of the eyedropper is not necessary for administering eye drops.
Choice B is incorrect as wiping the eye from the outer canthus to the inner canthus before instillation can introduce contamination to the eye.
Choice C is incorrect as applying pressure to the bridge of the nose after administration is not a recommended step for administering eye drops.

Correct Answer: D

Rationale: The correct answer is D: Decreases the production of aqueous humor. Timolol maleate, a beta-adrenergic blocking agent, works by reducing the production of aqueous humor in the eye. This reduction in aqueous humor production helps to lower intraocular pressure, making it effective in treating conditions like glaucoma.

Choices A, B, and C are incorrect because Timolol maleate does not increase the outflow, production, or draw of aqueous humor from the eye. By understanding the mechanism of action of Timolol maleate, we can conclude that the correct answer is decreasing the production of aqueous humor.