Chapter 40-eye

Question 1

Which are the two major classes of mydriatic drugs?

Answer 1

sympathomimetic and anticholinergic agents

These are the two classifications of drugs that dilate the pupils.

Question 2

The nurse understands that an important use for mydriatic eye medications is:

Answer 2

facilitate thorough examination of the eye.

This is one of four uses of medications that dilate the pupils.

Question 3

A client is prescribed loteprednol etabonate. The nurse recognizes further teaching is needed when the client responds:

Answer 3

“This medication will clear up the viral infection in my eye.”

Corticosteroids should not be used in the presence of a fungal or viral eye infection, because they may facilitate their spread.

Question 4

For the client prescribed gentamicin ointment for the treatment of bacterial keratitis, the nurse will instruct the client to:

Answer 4

continue the medication as prescribed, even though symptoms may seem to have improved.

Question 5

The nurse recognizes that which of the following drugs is used for treatment of chronic dry eyes?

Answer 5

cyclosporine-Ophthalmic cyclosporine is used for the treatment of keratoconjunctivitis sicca, or chronic dry eye.

Question 6

When teaching a client prescribed timolol maleate, the nurse should include that beta-adrenergic blocking eyedrops work by:

Answer 6

lowering intraocular pressure with little effect on visual acuity.-This is the action of these agents on the eye in the treatment of glaucoma.

Question 7

The client asks the nurse why he is to receive flurbiprofen sodium during ocular surgery. The nurse’s best response is:

Answer 7

“It is used to reduce edema and inflammation.”

Question 8

When preparing to instill eye medication in ointment form, the nurse first should:

Answer 8

pull down the lower lid to form a pouch.

Question 9

The nurse may wish to place an eye patch on the affected eye after instillation of eye ointment to:

Answer 9

control drainage from the eye.-This is the rationale for applying an eye patch after ophthalmic ointment.

Question 10

When instilling eye ointment, the nurse should:

Answer 10

apply the medication from the inner canthus to the outer canthus.

Question 11

When caring for a client receiving an ophthalmic corticosteroid, the nurse should:

Answer 11

monitor the client for headache and blurred vision.
Ophthalmic corticosteroids can increase intraocular pressure, causing headache and blurred vision, which may be the first manifestation for the nurse to note.

Question 12

When caring for a client with a herpes simplex type 1 eye infection, the nurse would anticipate the health care provider to prescribe:

Answer 12

trifluridine-This is an antiviral agent effective against herpes simplex eye infections.

Question 13

Natamycin can best be described as an:

Answer 13

antifungal agent-Antifungal is the classification of natamycin.

Question 14

When administering eyedrops, the nurse should instill them:

Answer 14

into the conjunctival sac.

Question 15

When caring for a client with asthma who has used pilocarpine over an extended time, the nurse should:

Answer 15

routinely auscultate the client’s breath sounds.

Long-term pilocarpine can cause systemic responses, including pulmonary edema, and precipitate an asthmatic attack.

Question 16

Which of the following drugs would be most likely to cause a psychotic reaction or behavioral disturbance in children?

Answer 16

cyclopentolate HCl- This medication is an anticholinergic mydriatic drug not recommended for use in children.

Question 17

A client is prescribed a carbonic anhydrase inhibitor to treat her glaucoma. Prior to administering the medication the nurse should:

Answer 17

assess the client for hypersensitivity to sulfonamides.

Carbonic anhydrase inhibitors are contraindicated in clients with hypersensitivity to sulfonamides.

Question 18

When caring for a client who has received a mydriatic medication, the nurse should:

Answer 18

encourage the client to wear sunglasses.

Mydriatics usually cause photosensitivity because of the dilation.

Question 19

After instructing the client concerning her prescription for acetazolamide for glaucoma, the nurse recognizes a need for further teaching when the client responds,

Answer 19

“I should instill my acetazolamide drops into my eyes at
bedtime.”
Acetazolamide is an oral medication and should not be taken at bedtime.

Question 20

When teaching the client using an ophthalmic solution, the nurse should include:

Answer 20

“Never use an ophthalmic solution that is cloudy.”

Question 21

Gentamicin ophthalmic is classified as a(n):

Answer 21

aminoglycoside

Question 22

The client is prescribed to receive eye medication O.S. The nurse prepares to instill the medication:

Answer 22

in the left eye- This is the classification of gentamicin regardless of its route of administration

Question 23

A client asks the nurse why his health care provider prescribed ketorolac tromethamine following his eye surgery. The nurse’s best response is:

Answer 23

“This is effective in managing the pain following surgery.”

: By decreasing inflammation, ketorolac is effective in managing postoperative pain.

Question 24

The nurse prepares to use which of the following agents as ocular irrigation to flush small particles from the eye?

Answer 24

The nurse prepares to use which of the following agents as ocular irrigation to flush small particles from the eye
—Sterile 0.9% sodium chloride is the proper agent since it most closely resembles bodily fluids, including tears.

Question 25

Atken is a local anesthetic for the eye. The nurse knows she will administer this agent as:

Answer 25

a gel.

Question 26

Which of the following statements by the nurse recruit is true concerning the ophthalmic solution Elestat?

Answer 26

“The client may complain of burning sensation with the use of this solution.”

Question 27

The ophthalmic suspension Nevanac is used to:

Answer 27

relieve pain and inflammation following cataract surgery

.This is the proper use for this agent. Nevanac is an NSAID.

Question 28

When caring for a client prescribed mannitol, the nurse should do which of the following? Select all that apply.

Answer 28

a. Apply a filter on the IV line of 15% to 25% solutions.
b. Monitor the infusion site for infiltration.
d. Assess the mannitol solution for the presence of crystals.
e. Administer a test dose if the client has severe renal impairment.
f. Monitor for necrosis at the site.

Question 29

The client who receives Trivaris, the intravitreal injection, would be monitored for which of the following? Select all that apply.

Answer 29

a. delayed wound healing
b. decreased bone density
c. secondary ocular infections
d. cataract formation
f. behavioral disturbances

Question 30

Which of the following statements by the nurse indicate an understanding about the agent Osmoglyn? Select all that apply.

Answer 30

a. “It is administered IM in the deltoid region.”
b. “I will monitor the client for increased salivation.”
c. “The agent may cause hyperglycemia.”
d. “Polydipsia is an adverse effect.”
e. “The medication may be mixed with fruit juice.”
f. “Serum electrolytes should be monitored throughout therapy.”