Nokea
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.
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The ophthalmic preparation erythromycin (Ilotycin) is contraindicated in clients with which of the following? Select all that apply.
- A. Gonorrheal infection of the eye
- B. Varicella infection of the eye
- C. Fungal infection of the eye
- D. Epithelial herpes simplex keratitis of the eye
- E. Mycobacterial infection of the eye
Correct Answer: B,C,D,E
Rationale: Antibiotic ophthalmic preparations, like erythromycin (Ilotycin), are contraindicated in clients with the following: epithelial herpes simplex keratitis, varicella, mycobacterial, and fungal infections of the eye.
A client is prescribed an otic agent to promote cerumen removal. Which of the following would the nurse include in the teaching plan? Select all that apply.
- A. Insert a cotton swab into the ear canal at least once a day.
- B. Do not use the drug if there is ear drainage.
- C. Use the drug for no more than 4 days.
- D. Call your primary health care provider if dizziness occurs.
- E. After the treatment, do not flush the ear with warm water to remove remaining wax.
Correct Answer: B,C,D
Rationale: The nurse would instruct the client not to insert anything into the ear canal, such as a cotton swab, not to use the drug if there is ear drainage, to use the drug for no more than 4 days; to call the primary health care provider if dizziness occurs; and to remove any wax remaining after the treatment by gently flushing the ear with warm water using a soft rubber bulb syringe.
A patient with open-angle (chroniglaucoma has been prescribed brimonidine tartrate to lower intraocular pressure (IOP). After administering the drug, the nurse should monitor which of the following in the patient as a local effect of brimonidine tartrate?
- A. Allergic lip reactions
- B. Foreign body sensation
- C. Deposits in the cornea
- D. Brow ache and headache
Correct Answer: B
Rationale: Although side effects are usually mild, treatment with brimonidine tartrate includes local effects like foreign body sensation, ocular hyperemia, burning and stinging, headache, visual blurring, ocular allergic reactions, and ocular pruritus. Allergic lip reactions, deposits in the cornea, brow ache, and headache are the transient local reactions to sympathomimetic drugs.
A nurse is preparing to administer Auralgan Otic drops, which contain benzocaine, antipyrine, and glycerin. The nurse understands that these drops provide which type of action? Select all that apply.
- A. Antifungal
- B. Corticosteroid
- C. Emollient
- D. Analgesic
- E. Local anesthetic
Correct Answer: C,D,E
Rationale: Auralgan Otic contains a local anesthetic (benzocaine), an emollient (glycerin), and an analgesic (antipyrine).
After teaching a group of nursing students about various ophthalmic drugs, the instructor determines that the teaching was successful when the students identify which of the following as a carbonic anhydrase inhibitor?
- A. Pilocarpine
- B. Brinzolamide
- C. Latanoprost
- D. Unoprostone isopropyl
Correct Answer: B
Rationale: Brinzolamide is a carbonic anhydrase inhibitor. Pilocarpine is a miotic, direct-acting cholinesterase inhibitor. Latanoprost and unoprostone isopropyl are prostaglandin agonists.