Chapter 53: Otic and Ophthalmic Preparations prep u

A client is prescribed ciprofloxacin. Which statement by the nurse is correct regarding the adverse effects of the medication?

"Adverse effects include nausea, vomiting, and tendinitis or tendon rupture."

The nurse is educating a client diagnosed with bacterial conjunctivitis of the right eye in an outpatient clinic about the prescribed ophthalmic medication ciprofloxacin, 2 drops every 2 hours while awake for 2 days, then 2 drops every 4 hours while awake for 5 days. Which statement made by the client establishes the need for further clarification?

"I will continue to take the medication until the bottle is empty."

What statement related to the action of timolol should be included in the teaching plan?

"It reduces aqueous humor production while increasing its outflow."

What health education should the nurse convey to the client prescribed trifluridine eye ointment before the initiation of treatment?

"It will take 1 or 2 weeks for the ointment to resolve the infection in your eye."

The nurse is educating a client newly diagnosed with necrotizing otitis externa of the left ear about the prescribed ciprofloxacin IVPB. Which statement made by the client establishes the need for further clarification?

"Once the symptoms decrease, otic drops will be used to treat the infection."

The nurse may use Cerumenex to aid in the removal of wax cerumen from the client's ear canal; however, Cerumenex is not allowed to stay in the ear canal for more than how long before irrigation?

30 minutes

A client should not use over-the-counter ear wax removal products for more than how long before consulting a health care provider?

4 days

The client is treated for chronic open-angle glaucoma. The nurse recognizes that which category of drugs is considered the first-line category of drugs to treat this?

Beta blockers

The practitioner has determined that a beta blocker is contraindicated in the client. The nurse anticipates the client will be prescribed what for glaucoma?

Brimonidine (Alphagan P)

The nursing student learning about conditions of the eye correctly indicates open-angle glaucoma is caused by which changes in the functioning of the eye?

Dysfunction of the angle that permits drainage of aqueous humor.

The client is reporting sharp shooting pains to the left eye and loss of peripheral vision. What does the nurse suspect?

Closed angle glaucoma

The nurse is preparing a client for discharge after cataract surgery. The client is instructed to use anti-inflammatory eyedrops after the surgery for 2 weeks. Which of the following medications will the client be using?

Diclofenac (Voltaren)

The nurse is seeing a female client who states she needs to have her prescription for eye drops refilled. The nurse notes the client has brimonidine listed as a medication in her health records. The nurse knows the use of which drug is contraindicated for this client?

Monoamine oxidase (MAO) inhibitor

A nurse is going to administer ear drops for an adult client. The nurse knows that when administering ear drops, what is the best position for the client?

Side lying

A client has been diagnosed with keratoconjunctivitis related to an exacerbation of herpes simplex virus. The nurse anticipates this client will need teaching regarding which of the following medications?

Viroptic

A client is to receive therapy for newly diagnosed glaucoma. The nurse is reviewing the client's medical history. The nurse is aware that timolol is contraindicated in individuals with a history of:

asthma.

When educating a group of older adults about glaucoma, the nurse should identify what classic characteristics of this disorder? Select all that apply.

blurred vision halos around lights loss of peripheral vision

A primary health care provider prescribes a carbonic anhydrase inhibitor ophthalmic drop for a client. Which would the nurse expect to administer?

brinzolamide

A client with an earache visits the clinic. The primary care provider orders otobiotic otic 4 gtts instilled TID. The nurse knows that this drug belongs to which category?

corticosteroid and antibiotic combinations

A client has just undergone a complete eye examination with dilation of the pupils. What drug would the nurse expect this client to be given to reverse this dilation?

dapiprazole

A client has been treated with ofloxacin multiple times for an ear infection. The nurse instructs the client to report signs of local adverse reactions. What would this include? (Select all that apply.)

ear irritation itching burning

A nurse is completing admission paperwork for a client with pneumonia. The client's medication history shows only brimonidine 1 mL in both eyes three times a day. The nurse knows that this client has which preexisting condition?

glaucoma

A nurse instructs a female client who is worried about losing her vision because both of her parents have had problems with their eyesight. Evidence supports the theory that the herb bilberry can help promote healthy eyes. What other benefits have been reported for this herb? (Select all that apply.)

improved visual acuity improved night vision prevention of free radical damage promotion of capillary blood flow to the eyes, hands, and feet