Nokea
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.
You may also like to solve these questions
After teaching a client how to administer eye drops, the nurse determines that additional teaching is needed when the client states which of the following?
- A. I'll check to make sure the solution is clear.
- B. I'll drop the solution into the nasal side of the lower eye sac.
- C. I'll be sure not to touch the tip of the dropper to the eye.
- D. I'll check the label to make sure it reads for 'ophthalmic use'
Correct Answer: B
Rationale: When administering eye drops, the client should check the label to make sure the preparation is for ophthalmic use and it is clear. The client should drop the solution into the middle of the lower conjunctival sac, not directly on the eyeball. The tip should not come into contact with the eye to prevent contamination.
A client receiving ophthalmic drugs reports blurred vision. He tells the nurse, 'I almost fell yesterday.' The nurse identifies which nursing diagnosis?
- A. Risk for Infection
- B. Risk for Injury
- C. Acute Pain
- D. Anxiety
Correct Answer: B
Rationale: The client's complaint of blurred vision and his report of almost falling support the nursing diagnosis of Risk for Injury. Risk for Infection would be appropriate if the client had an infection or did not correctly instill the eyedrops, contaminating the container and/or solution. Acute Pain would be more appropriate if the client complained of pain either from the disorder or as an adverse effect. Although the client may be anxious, there is no evidence to support it.
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 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.
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.