Nokea
A client is diagnosed with springtime allergic conjunctivitis. The nurse would expect which of the following to be prescribed? Select all that apply.
- A. Brimonidine (Alphagan)
- B. Gatifloxacin (Zymar)
- C. Betaxolol (Betoptic)
- D. Pemirolast (Alamast)
Correct Answer: D
Rationale: Mast cell stabilizers, like nedocromil (Alocril) and pemirolast (Alamast), are ophthalmic drugs useful in a client who has allergic conjunctivitis during the spring.
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When assessing an infant for a possible ear infection, which of the following behaviors would the nurse note? Select all that apply.
- A. Change in behavior
- B. Nasal drainage
- C. Irritability
- D. Ear tugging
- E. Fever
Correct Answer: A,C,D,E
Rationale: When assessing the infant, the nurse would look for ear tugging, change in behavior, crying, fussing or irritability, or fever.
A client is receiving multiple ophthalmic drugs. Which of the following ophthalmic preparations would the nurse administer to the client for the purpose of treating increased intraocular pressure? Select all that apply.
- A. Brimonidine (Alphagan)
- B. Apraclonidine (Iopidine)
- C. Tobramycin (TobraDex)
- D. Ofloxacin (Ocuflox)
- E. Ganciclovir (Vitrasert)
Correct Answer: A,B
Rationale: Brimonidine (Alphagan) and apraclonidine (Iopidinare ophthalmic preparations used to treat increased intraocular pressure.
A client would like to use carbamide peroxide (Debrox) to remove cerumen from the ears and asks the nurse if this is okay. In which of the following situations should this drug not be used? Select all that apply.
- A. Before ear surgery
- B. Perforated eardrum
- C. Congestion
- D. Ear drainage
- E. Dizziness
Correct Answer: B,D
Rationale: Drugs like Debrox (carbamide peroxide), used to remove cerumen, are not used if ear discharge, drainage, pain, or irritation is present, if the eardrum is perforated; or after ear surgery.
A client is diagnosed with a bacterial ocular infection. Which of the following would the nurse most likely administer if prescribed? Select all that apply.
- A. Brimonidine (Alphagan)
- B. Gatifloxacin (Zymar)
- C. Tobramycin (TobraDex)
- D. Betaxolol (Betoptic)
- E. Natamycin (Natacyn)
Correct Answer: B,C
Rationale: Gatifloxacin (Zymar) and tobramycin (TobraDex) are antibiotic ophthalmic preparations used to treat bacterial infections.
Trifluridine is being administered to a patient who is being treated for epithelial keratitis. The nurse caring for this patient should know that which of the following is a local reaction to trifluridine?
- A. Edema of the eyes
- B. Loss of visual acuity
- C. Cataract formation
- D. Delayed wound healing
Correct Answer: A
Rationale: Trifluridine is an antiviral drug, and administration of antiviral ophthalmics may cause local reactions such as edema of the eyes or eyelids, irritation, pain, pruritus, inflammation, foreign body sensation, and corneal clouding. Loss of visual acuity, cataract formation, and delayed wound healing are the local adverse reactions associated with the administration of corticosteroid ophthalmic preparations like dexamethasone phosphate and are not related to the administration of trifluridine.