Nokea
A nurse is teaching a client who is prescribed eye drops as treatment for glaucoma. The nurse emphasizes the importance of therapy to reduce intraocular pressure to prevent which of the following? Select all that apply.
- A. Nerve damage
- B. Headache
- C. Visual loss
- D. Blindness
- E. Corneal tears
Correct Answer: A,C,D
Rationale: Increased intraocular pressure can lead to optic nerve damage, visual loss, and blindness.
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After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the students match which ingredient to its correct action? Select all that apply.
- A. Antipyrine decongestant
- B. Benzocaine - local anesthetic
- C. Hydrocortisone - corticosteroid
- D. Carbamide peroxide - antimicrobial
- E. Acetic acid - antimicrobial
Correct Answer: B,C,E
Rationale: The following ingredients found in miscellaneous otic preparations are correctly matched with their action: benzocaine - local anesthetic, hydrocortisone corticosteroid, and acetic acid - antimicrobial. Antipyrine is an analgesic; carbamide peroxide aids in removing cerumen.
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.
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 client is prescribed two ophthalmic drugs that are to be administered at about the same time each day. The nurse instructs the client to separate the drug administration by which amount of time?
- A. 1 to 2 minutes
- B. 3 to 5 minutes
- C. 5 to 10 minutes
- D. 10 to 15 minutes
Correct Answer: C
Rationale: If more than one topical ophthalmic drug is being used, the nurse would instruct the client to administer the drugs at least 5 to 10 minutes apart.
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.