Week 10: Chapter 29 Flashcards
Which conditions or problems are associated with glaucoma? (select all that apply)
- The aqueous fluid in the eye builds up and prevents blood flow through retinal blood vessels.
- If glaucoma is untreated, it leads to blindness.
- The first area of vision affected is side (peripheral) vision.
The nurse is preparing to administer two different types of eye drops to a patient. How many minutes apart should these eye drops be instilled into the same eye?
10
The nurse is discharging a patient with a new prescription for a glaucoma medication. For which medication is it most important to remind the patient to wear sunglasses when in bright light?
Apraclonidine (Iopidine)
The emergency department (ED) nurse is admitting a patient with glaucoma. What type of glaucoma is considered a sudden onset type?
Acute closed-angle
The nurse is giving a glaucoma medication to a patient. For which medication is it most important for the nurse to check whether the patient is taking a monoamine oxidase (MAO) inhibitor?
Apraclonidine (Iopidine)
What drug category offers an oral form medication to control glaucoma?
Carbonic anhydrase inhibitors
A patient with diabetes who is taking timolol (Timoptic) drops is admitted to the unit. What recommendations might you expect the health care provider to suggest?
Increased blood sugar checks
You are preparing to administer timolol (Betimol) eye drops. Which is the best technique to prevent systemic side effects in the patient?
Performing punctal occlusion {Punctal occlusion keeps the drug on the eye longer and helps to prevent systemic effects.}
A patient reports a sudden decrease in vision after the installation of eye drops. After determining that the vision change is not due to blurriness from the installation process, what should you tell the patient to do?
Go to the emergency department
The nurse is administering eye drops to a patient with a history of falls. What eye drop medications increase the risk for falls? (select all that apply)
Timolol (Betimol)
Carbachol (Carboptic)
A patient does not want to take out contact lenses before ointment administration. What rationales can be given to encourage the patient to remove his or her contact lenses? (select all that apply.)
Contacts can absorb the drug and preservative.
Contacts can become cloudy or discolored.
Contacts should not be worn during the application of ointment drug therapy.
Contacts can keep the drug from spreading evenly.
A nurse is caring for a young woman with glaucoma whose sight loss is severe and tells the nurse she is planning to become pregnant and breastfeed. What information should the nurse give the patient?
Breastfeeding is not recommended during glaucoma therapy.
Before administering timolol (Timoptic) to a patient for the first time, what questions are important to ask the patient? (select all that apply)
“Do you have cataracts?”
“Do you have asthma?”
“Do you have a heart condition?”
The nurse is administering eye drops to a patient. The nurse knows that what type of glaucoma eye medication carries has the greatest risk of systemic reactions when coming into contact with the patient’s skin?
Carbachol (Carboptic)
The nurse is preparing to administer eye ointment to a patient. Which routine action done before the instillation of the ointment best reduces the chance of instilling contaminated medication into a patient’s eyes?
Squeezing a small amount out of ointment onto a tissue
