Nurisng

Instructions:

• Please review Canvas PowerPoints, audios, and read the textbook.
• Read the questions/scenarios and answer the following questions.
• Watch for grammar and sentence structure. Answers must be written in paragraph format. There must be a minimum of ONE (1) paragraph (five to ten complete sentences) per question.
  
  • Do not rewrite/type the questions.
  • Avoid using bullet points when answering the questions.
  • Ten (10) points will be deducted for improper grammar and sentence structure.
• Assignments must be submitted to Turn It In.
  • Report must show 25% or less to be acceptable for grading.
  • A score greater than 25%, will receive a zero (0).
• Please cite your source(s) and include your reference(s). Reference(s) must be from a credible source (i.e textbook, peer-reviewed articles, etc.).
  
  • Ten (10) points will be deducted for missing or non-credible reference(s).

Question #1 (20 points)

• Create a concept map for one (1) of the dermatologic medications listed in the Lesson Plan.
  • This NUR 1141 - Pharmacology Concept Map-1.docx must be used.

Question #2 (20 points)

A 2-year-old girl is brought to the pediatric clinic by her mother due to increased irritability, poor sleep, and frequent tugging at her right ear over the past two days. The mother reports that the child has also had a low-grade fever and decreased appetite. After examination, the provider diagnoses acute otitis media and prescribes antibiotic otic drops for treatment.

• What is the purpose of antibiotic otic drops in the treatment of otitis media?
• What positioning technique should be used when administering ear drops to a young child, and why?

Question #3 (20 points)

Differentiate between antigens, antibodies, toxoids, and immunoglobulins.

Discuss the various types of immunizations and provide an example of each:

• Natural active immunization
• Artificial active immunization
• Natural passive immunization
• Artificial passive immunization

Question #4 (20 points)

A male patient with a history of liver transplantation is admitted to the hospital for treatment of an acute asthma exacerbation. His home medication list includes cyclosporine (Sandimmune) as part of his immunosuppressive regimen to prevent organ rejection. During medication reconciliation, the nurse notes that the hospital’s automated dispensing system  contains cyclosporine modified (Neoral) instead of Sandimmune.

• What is the primary mechanism of action of cyclosporine in preventing organ rejection?
• What is the difference between cyclosporine (Sandimmune) and cyclosporine modified (Neoral)?
• What steps should the nurse take upon noticing that only Neoral is available in the medication dispensing system?
• What patient education should be provided regarding adherence to immunosuppressant therapy?

Question #5 (20 points)

A 62-year-old woman is accompanied by her son to an ophthalmologist appointment recommended by her primary care provider. The patient is reluctant to go because she says her eyes are "fine." A topical anesthetic is place in the eye and the opthamologist measures her intraocular pressure to 23 mm Hg.      
Tetracaine drops are applied and the patient is sent to the waiting room until mydriatic and cycloplegic effects occur.

• What are mydriatic and cycloplegic effects, and what are their purposes in this situation?

The patient was prescribed timolol and rushed home to see the home health nurse. The patient did not have the time to get her prescription filled. The home health nurse is reviewing the prescription and it reads: “Timolol (Timoptic) two gtts AD daily HS.”

•Which actions should the nurse take? Explain your answer.

•What patient teaching should you provide about timolol?