ATI case study/questions in book- glaucoma Flashcards
which of the following drug classifications is the first line therapy for treating open angle glaucoma?
glucocorticoids
beta blockers
anticholinergic agents
mast cell stabilizers
beta blockers
-reduce the production of aqueous humor, thus reducing intraocular pressure
which of the following drugs, used to treat open angle glaucoma, should primary care providers use with caution for a client taking propranolol?
betaxolol
latanoprost
pilocarpine
echothiophate
betaxolol
- can cause bradycardia and hypotension
-monitor clients for bradycardia, AV heart block, and hypotension
the PCP prescribes pilocarpine for the client. Which of the following info should he include when instructing the client about instilling pilocarpine eye drops?
apply gentle pressure to the nasolacrimal duct after instillation
massage the eyelid after instillation
cover the eye with a patch after instillation
blink rapidly to dispense the eye drops after instillation
apply gentle pressure to nasolacrimal duct after instillation
-reduces systemic absorption
the PCP continues to instruct the client about using pilocarpine. He tells the client to watch for and report which of the following adverse effects of this drug? (select all that apply)
blurred visioon
headache
visual floaters
dilated pupils
tachycardia
blurred vision
headache
visual floaters
-visual floaters or spots need to be reported bc they might indicate retinal detachment
the client returns to the PCP after 1 week. he is sweating and reports urinary urgency. he suspects systemic effects from pilocarpine. which of the following drugs can reverse systemic toxicity from pilocarpine?
flumazenil
protamine sulfate
naloxone
atropine sulfate
atropine sulfate
-anticholinergic drug
which of the following drugs blocks beta-adrenergic receptors and thereby decreases IOP by reducing the amount of aqueous humor produced?
betaxolol
pilocarpine
latanoprost
acetazolamide
betaxolol
-cardioselective beta 1 blocker that decrease IOP by reducing the amount of aqueous humor produced
a nurse is instructing a client who has a new prescription for timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication?
bony orbit
nasolacrimal duct
conjunctival sac
outer canthus
nasolacrimal duct
a nurse is teaching a client who has a new prescription for brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching?
“this medication can stain your contacts”
“this medication can cause your pupils to constrict”
“this medication can absorb into your contacts”
“this medication can slow your heart rate”
“this medication can absorb into your contacts”
-this med can absorb into soft contacts, the client should remove their contacts then instill the medication and wait at least 15 min before putting them back in
a nurse in an emergency department is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings are indicative of this condition?
insidious onset of painless loss of vision
gradual reduction in peripheral vision
severe pain around eyes
intraocular pressure 12mmHg
severe pain around eyes
-severe pain around eyes that radiates to fact is a manifestation of acute angle closure glaucoma
