EAQ Ch. 57 Ophthalmic Drugs
Which information would the nurse teach the patient about the advantage of a prostaglandin agonist for glaucoma compared to other medications used?
has a longer duration of action.
The patient is prescribed an oral carbonic anhydrase inhibitor for glaucoma. What should the nurse ask prior to the administration of this medication?
"Are you allergic to sulfonamide antibiotics?"
A patient newly diagnosed with open-angle glaucoma asks about the purpose of epinephrine therapy. What should the nurse teach the patient?
"Epinephrine decreases intraocular pressure."
A patient is started on olopatadine drops. What assessment finding indicates the medication is having a therapeutic effect?
Absence of itching
Which information is essential for the nurse to teach the patient about glaucoma?
Damages the optic nerve
Which assessment finding indicates flurbiprofen is having the desired effect for the patient?
Decreased inflammation
The patient visits an ophthalmologist for a foreign body in the eye. The ophthalmologist administers fluorescein. What result is expected?
Halo around the foreign body
The nurse is teaching the patient to utilize cromolyn for keratitis. What instruction is correct?
Put 1 to 2 drops in affects eye 4 to 6 times daily
A patient who received a sympathomimetic mydriatic eyedrop complains of burning. What is the nurse's primary action?
Reassure the patient
The nurse assesses a patient who was administered ophthalmic proparacaine. For which therapeutic effect should the nurse monitor in the patient?
Relief of pain associated with injury
A patient is prescribed ciprofloxacin for the treatment of bacterial keratitis. After one week, the ophthalmologist observes some white crystalline precipitates in the cornea of the patient's eye. What action is appropriate?
Tell the patient not to worry.
A patient is receiving a miotic. Which information is essential for the nurse to teach the patient?
This medication may cause blurred vision.
Which medication decreases the production of aqueous humor and increases its outflow?
Timolol
Which eye component is the jelly-like fluid in the large chamber behind the lens of the eye?
Vitreous body
What should the nurse teach the patient about corticosteroid ophthalmic drops?
You may experience burning when instilling the eyedrops."
A patient is administered echothiopate for the treatment of accommodative esotropia. Which mechanism is responsible for the therapeutic effect of echothiopate?
cholinesterase inhibitor
Which structure(s) located in the eye play(s) a MAJOR role in central vision and enable(s) a person to perceive colors?
cones
Which type of glaucoma occurs in infants?
congenital glaucoma
Which structure covers the exposed anterior surface of the eyeball?
conjunctiva
Which statement made by a patient indicates the need for further teaching regarding proper administration of eyedrops?
"I will rinse the eyedropper with tap water after each use."
A patient calls the clinic complaining of burning with instillation of epinephrine eyedrops. What should the nurse say to the patient?
"This is a typical adverse effect and may lessen over time."
A patient is being discharged on pilocarpine ophthalmic drops. What information will the nurse include in the discharge plan?
"This medication will constrict your pupils."
The nurse is assessing a patient with angle-closure glaucoma who has been prescribed mydriatics. Which point is essential to include in teaching?
"Wear sunglasses after administering your eyedrops."
Which effects are expected from therapy with direct- and indirect-acting miotics? Select all that apply.
- Enhanced aqueous humor drainage - Ciliary muscle contraction
Which information is important for the nurse to teach the patient diagnosed with bacterial conjunctivitis? select all that apply
- Finish your entire prescription. - This condition is highly contagious. - Do not share the medication with others. - The ciprofloxacin ointment has to be utilized daily.
The nurse teaches the patient that potential adverse effects of indirect-acting cholinergic eyedrops include which symptoms? Select all that apply.
- Inflammation - Blurred vision - Increased tearing
The nurse assesses a patient who has been prescribed an ocular beta-adrenergic blocker for the treatment of ocular hypertension. For which adverse effects would the nurse monitor in the patient? Select all that apply.
- blurred vision - transient burning
Which ocular drugs belong to the category of nonsteroidal antiinflammatory drugs (NSAIDs)? Select all that apply
- ketorolac - diclofenac
Which medication is an example of an ocular sympathomimetic drug?
Apraclonidine
Which medication in the patient's history presents a possibility of interaction with ophthalmic antibiotics?
Corticosteroids
The nurse was instructed to administer apraclonidine drops. Which medication effects would the nurse teach the patient about the apraclonidine drops?
Decreased ocular pressure
Which drug is used to treat accommodative esotropia?
Echothiophate
Which drug is prescribed to newborns for preventing ocular infections caused by N. gonrrhoeae?
Erythromycin
What information should be included when teaching a patient about latanoprost?
Eye color may darken while on this medication.
Which drug is used to identify corneal defects?
Fluorescein
Which ocular infection is characterized by the formation of a single cyst at the follicles of the eyelashes?
Hordeolum (sty)
The nurse is teaching a patient with angle-closure glaucoma. Which information about the treatment is included?
Medication therapy will help to decrease intraocular pressure.
Parasympathomimetic ophthalmic drugs such as pilocarpine reduce intraocular pressure in the treatment of glaucoma by which mechanism of action?
Miosis
At the time of birth, infants are often treated with erythromycin eye ointment as prophylactic treatment against what possible organism?
N. gonorrhoeae
Which mechanism causes the eye to dilate?
The iris dilator muscle constricts the iris to cause pupil dilation.
Which patient finding may be a contraindication to receiving dorzolamide ophthalmic drops?
allergy to sulfa drugs
A patient is receiving two eyedrops of glaucoma, a beta blocker, and a carbonic anhydrase inhibitor. Which information does the nurse teach the patient about the rationale for these drugs?
both decrease aqueous humor in different ways
In a patient admitted with an ocular problem, the nurse performs an assessment of extraocular eye movement. Which purpose does this assessment serve?
determines if the patient has the ability to move eyes in all directions
Which structure causes mydriasis?
dilator muscle
Which information is essential to teach the patient prescribed natamycin?
initially instilled hourly
Which information does the nurse teach the patient about the administration of pilocarpine gel?
instill the gel into the lower conjunctival sac
A patient is prescribed sulfacetamide. What does the nurse teach the patient about the purpose of this medication therapy?
it will cure your infection.
Which assessment finding will the nurse determine is consistent with cycloplegia?
lack of accommodation
Which finding would the nurse expect in a patient with a hordeolum?
localized infection of an eyelash follicle and anterior eyelid
Which medication is administered intravenously to decrease intraocular pressure prior to surgery when other medications have been unsuccessful?
mannitol
Which response indicates a therapeutic effect from administering atropine sulfate eyedrops to a patient with uveitis?
pupil dilation
Which information would the nurse teach the patient about betaxolol drops?
they will decrease the pressure in your eye
The nurse is teaching a patient diagnosed with a cataract. The patient states, "I am not going to get treatment for this!" Which information is essential to include in the patient's teaching plan?
this condition mat lead to blindness
Which information would the nurse teach the patient about trifluridine?
this medication is used for 21 days
Which information would the nurse teach the patient prior to receiving atropine sulfate drops for an ophthalmic exam?
wear sunglasses when you leave the exam room
Which information is essential for the nurse to teach the patient about the administration of trifluridine?
you will be taking this medication for 21 days
Which information is essential for the nurse to teach the patient with hazel eyes who is starting on the prostaglandin agonist latanoprost?
your eyes may turn permanently brown
A patient asks, what should I expect after administering dipivefrin? How would the nurse respond?
your pupils will increase in size
