Nokea
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.
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A nurse is teaching a client about the use of Auralgan Otic. The nurse would inform the client about which of the following as a possible adverse reaction? Select all that apply.
- A. Irritation
- B. Headache
- C. Pruritus
- D. Burning
- E. Congestion
Correct Answer: A,C,D
Rationale: A nurse educating a client on the use of Auralgan Otic should advise the client of the following adverse reactions: irritation, pruritus, and burning.
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.
The nurse should discuss which of the following adverse reactions with a client prior to the administration of a drug to treat glaucoma? Select all that apply.
- A. Ocular burning
- B. Headache
- C. Numbness
- D. Tearing
- E. Blurred vision
Correct Answer: A,B,D,E
Rationale: The nurse should discuss the following adverse reactions with a client prior to the administration of drugs used to treat glaucoma: locally in or near the eye-burning and stinging, headache, blurred vision, tearing, foreign body sensation, ocular allergic reactions, and ocular itching.
Before administering an otic preparation, which of the following would the nurse be responsible for during the preadministration assessment? Select all that apply.
- A. Documentation of a description of any drainage
- B. Examination of the outer structures of the earlobe
- C. Examination of the inner structures of the ear
- D. Documentation of a description of visible cerumen
- E. Examination of the skin around the ear
Correct Answer: A,B,D,E
Rationale: During preadministration assessment before administering an otic preparation, the nurse is responsible for the following: examination of the outer structures of the ear (earlobe and the skin around the ear) and documentation of a description of any drainage or visible cerumen. The primary health care provider examines the ear's external and internal structures.
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).