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Exam (elaborations)

NR 566 Week 3 Questions with Verified Answers (Correct Update)

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NR 566 Week 3 Questions with Verified Answers (Correct Update)

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NR 566 Week 3 Questions with Verified Answers (Correct Update)
Question 1: Treatment of glaucoma- beta blockers

Answer: -approved for topical use in treating open-angle glaucoma are: Betaxolol, Carteolol,
Levobunolol, and Timolol.
-treat by reducing IOP which can slow or even stop the disease progression
-lower IOP by decreasing production of aqueous humor

Question 2: Adverse reactions of Glaucoma Beta Blockers use

Answer: local stinging, conjunctivitis, blurred vision, photophobia, and dry eyes
-bradycardia and AV heart block can also occur
-pulse should be monitored
-use caution with HF pts- can cause bronchospasms

Question 3: How to treat someone with glaucoma and either asthma or COPD

Answer: use only Betaxolol as treatment of choice because its a beta 1 selective

Question 4: S/S of Otitis media

Answer: ear pain, fever, vomiting, anorexia, irritability, insomnia, and diarrhea bulging tympanic
membrane, inflammation, and swelling of the eustchian tube

Question 5: treatment of otitis media

Answer: Amoxicillin
-heating pads help (alternate with ice)
-avoid chewing (soft foods)
-lie on the affected side
-may not hear you
-avoid smoke
-May require PE (pressure equalizing) tubes to keep the middle ear drained. The ear tube (grommet)
stays in about 6 months and then falls out

Question 6: Otitis Externa (Swimmer's Ear) Bacterial s/s

Answer: An infection of the outer ear, with severe painful movement of the pinna and tragus, redness
and swelling of pinna and canal, scanty purulent discharge, ear fullness common cause: pseudomonas
aeruginosa and staph aureus

Question 7: Treatment for Otitis Externa: Bacterial

Answer: pain relievers, ear drops of acetic acid and alcohol, if this treatment fails give cipro drops oral
meds is indicated if infection extends beyond the external auditory canal and involves the pinna. Give
oral cipro in pts over 18 years and cephalexin (Keflex) in children



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