Pharmacology - NCLEX Eye & Ear Medication

A miotic medication has been prescribed for the client with glaucoma and the client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client? A. "The medication will help dilate the eye to prevent pressure from occurring." B. "The medication will relax the muscles of the eyes and prevent blurred vision." C. "The medication causes the pupil to constrict and will lower the pressure in the eye." D. "The medication will help block the responses that are sent to the muscles in the eye."

C. "The medication causes the pupil to constrict and will lower the pressure in the eye."

A nurse would question the health care provider (HCP) if which medication was prescribed for a client with glaucoma? A. Pilocarpine HCl B. Pilocarpine nitrate C. Atropine sulfate (Isopto Atropine) D. Carteolol hydrochloride (Ocupress)

C. Atropine sulfate (Isopto Atropine)

Ear drops are prescribed for an infant with otitis media. Which is the most appropriate method to administer ear drops to an infant? A. Pull up and back on the pinna and direct the solution onto the eardrum. B. Pull down and back on the pinna and direct the solution onto the eardrum. C. Pull down and back on the pinna and direct the solution toward the wall of the canal. D. Pull up and back on the ear lobe and direct the solution toward the wall of the canal.

C. Pull down and back on the pinna and direct the solution toward the wall of the canal.

A client has been prescribed betaxolol eye drops for the treatment of glaucoma. The ambulatory care nurse determines that the client understands proper medication use if the client states the need to return to the office for monitoring of what item(s)? A. Hearing acuity B. Blood glucose level C. Presence of calf pain D. Blood pressure and apical pulse

D. Blood Pressure and apical pulse

The preoperative medication sheet identifies that cyclopentolate (Cyclogyl) is prescribed for a client before cataract surgery. Which is the action of the medication?

Paralysis of the ciliary muscle occurs.

A nurse teaching a mother how to administer ear drops to an infant tells the mother to pull the child's ear in which direction?

Pull down and back on the earlobe and direct the solution toward the wall of the canal.

The nurse is preparing to administer eyedrops. Which interventions should the nurse take to administer the drops? Select all that apply. A. Wash hands. B. Put gloves on. C. Place the drop in the conjunctival sac. D. Pull the lower lid down against the cheek bone. E. Instruct the client to squeeze the eyes shut after instilling the eyedrop. F. Instruct the client to tilt the head forward, open the eyes, and look down.

A, B, C, D

When teaching a client with glaucoma about the effects of a miotic medication, the nurse should tell the client that the medication will produce which effect?

Lower intraocular pressure and improve blood flow to the retina.

A client being discharged to home with a prescription for eye drops to be given in the left eye has received instructions regarding self-administration of the drops. The nurse determines that the client needs further instruction if, on return demonstration, the client takes which action?

Lies supine, pulls up on the upper lid, and puts the drop in the upper lid

The nurse is reviewing the instillation technique for both eye ointment and eye drops with the parent of a pediatric client diagnosed with bacterial conjunctivitis. Which statement, if made by the parent, would indicate that learning has taken place? A. "I will be careful not to touch the eye or eyelid during administration." B. "I will place my child on the left side to administer drops in the right eye." C. "I will administer the eye ointment and then wait 5 minutes and administer the eye drops." D. "I will have my child blink after the instillation to encourage thorough distribution of the eye drops."

A. "I will be careful not to touch the eye or eyelid during administration."

A client is prescribed an eyedrop and an eye ointment for the right eye. How should the nurse best administer the medications? A. Administer the eyedrop first, followed by the eye ointment. B. Administer the eye ointment first, followed by the eyedrop. C. Administer the eyedrop, wait 15 minutes, and administer the eye ointment. D. Administer the eye ointment, wait 15 minutes, and administer the eyedrop.

A. Administer the eyedrop first, followed by the eye ointment.

The nurse prepares a client for an ear irrigation as prescribed by the health care provider. Which action should the nurse take when performing the procedure? A. Warm the irrigating solution to 98.6° F. B. Position the client with the affected side up following the irrigation. C. Direct a slow steady stream of irrigation solution toward the eardrum. D. Assist the client to turn his or her head so that the ear to be irrigated is facing upward.

A. Warm the irrigating solution to 98.6° F.

Pilocarpine hydrochloride (Isopto Carpine) is prescribed for a client with glaucoma. The nurse checks the medication supply room to ensure that atropine sulfate is available for administration in the event that systemic toxicity occurs from the use of pilocarpine hydrochloride. The nurse also monitors for which sign of systemic toxicity?

Bradycardia

In preparation for cataract surgery, the nurse is to administer prescribed eye drops. The nurse reviews the health care provider's prescriptions, expecting which type of eye drops to be prescribed? A. A miotic agent B. A thiazide diuretic C. An osmotic diuretic D. A mydriatic medication

D. A mydratic medication

A client with chronic glaucoma is being started on medication therapy with acetazolamide (Diamox). The nurse teaches the client that which can occur early with the use of this medication?

Diuresis

The nurse is providing instructions to a client who will be self-administering eyedrops. To minimize systemic absorption of the eyedrops, the nurse should instruct the client to take which action?

Occlude the nasolacrimal duct with a finger after instilling the drops.