Nokea
A nurse is preparing to administer the ophthalmic drug ketorolac (Acular). The nurse understands that this drug can be used to treat which of the following ocular problems? Select all that apply.
- A. Bacterial infection
- B. Increased intraocular pressure
- C. Postoperative pain after cataract surgery
- D. Relief of ocular itching
- E. During ocular surgery to prevent miosis
Correct Answer: C,D,E
Rationale: Ophthalmic NSAIDs, like ketorolac (Acular), are used to treat pain and inflammation after cataract surgery, for the relief of ocular itching, and during eye surgery to prevent miosis.
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A nurse is educating a client on the use of Acetasol HC otic drops, which contain hydrocortisone, acetic acid, propylene glycol, sodium, and benzethonium chloride. While educating the client, the nurse integrates knowledge that the preparation exerts the action of which of the following? Select all that apply.
- A. Antifungal
- B. Corticosteroid
- C. Antibacterial
- D. Analgesic
- E. Anesthetic
Correct Answer: A,B,C
Rationale: Acetasol HC contains a corticosteroid (hydrocortisone); acetic acid and benzethonium provide antifungal and antibacterial action.
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 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.
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 admitted to the health care facility with acute glaucoma. After administering the prescribed ophthalmic drugs, the nurse continues to assess the client for pain relief at which frequency?
- A. Every hour
- B. Every 2 hours
- C. Every 3 hours
- D. Every 4 hours
Correct Answer: B
Rationale: Clients admitted for treatment of acute glaucoma should be assessed every 2 hours for relief of pain. Pain in the eye may indicate increased intraocular pressure.