PrepU 53

While reviewing a client's list of medications, the nurse sees that the client has been prescribed ciprofloxacin eyedrops. What disorder of the eye does the nurse suspect the client has? Astigmatism Cataracts Conjunctivitis Increased intraocular pressure (IOP)

Conjunctivitis

Which risk factor has the greatest association with open angle glaucoma? Elevated intraocular pressure (IOP) Asthma Ethnic background Eye infection

Elevated intraocular pressure (IOP)

A client diagnosed with ocular hypertension and prescribed an alpha2-adrenergic agonist eye drop asks the nurse what the medication is expected to do. What is the basis for the nurse's explanation of the action of such a medication? The goal is to reduce the viscosity of aqueous humor to allow for effective flushing of the eyeball. It is intended to reduce the production of aqueous humor and so decrease intraocular pressure (IOP). The alpha2-adrenergic agonist enhances the elasticity of the client's rigid cornea. The effect is to increase the outflow of aqueous humor thus lowering intraocular pressure (IOP).

It is intended to reduce the production of aqueous humor and so decrease intraocular pressure (IOP).

What eye disorder would contraindicate long-term use of ophthalmic corticosteroids? Conjunctivitis Hordeolum Glaucoma Blepharitis

glaucoma

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." "Adverse effects include difficulty with blood pressure regulation and sunburns." "Adverse effects include increased respiratory rate and gastrointestinal distress." "Adverse effects include irritability and difficulty hearing."

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

A client is diagnosed with an eye infection and prescribed ciprofloxacin. Which statement by the client warrants additional instruction regarding appropriate home care instructions? "I will wash my hands before I apply the medication." "I will call if there is no improvement or redness continues." "I will change my contacts each morning." "I will use caution by not allowing the tip of applicator to touch my eye."

"I will change my contacts each morning."

A nurse asks a student nurse how intraocular pressure (IOP) is maintained. What statement indicates that the student nurse has an appropriate understanding of this process? "It is a balance between the production and drainage of aqueous humor." "Fluid exchange between ophthalmic blood vessels and optic nerve." "Lens provides the ability of light rays to form images on the retina." "Schlemm's canal provides fluid to the venous circulation."

"It is a balance between the production and drainage of aqueous humor."

A child is being seen in the clinic for a report of "something inside the ear." On exam, the provider sees that the child has an excessive amount of hard cerumen in his ear and prescribes carbamide peroxide drops. What teaching point is important for the nurse to give the parent and child? "If the drops cause discomfort or the child doesn't like them, then don't use them." "It is important to heat the drops in a microwave before using them." "Never put anything in the ear in an attempt to remove the cerumen." "If the prescribed one to two drops don't work, then use more drops."

"Never put anything in the ear in an attempt to remove the cerumen."

What administration instructions should the nurse provide to the parents of a 4-year-old child prescribed a neomycin-polymyxin B-hydrocortisone combination drug for otitis media in the right ear? "Put one drop into the right ear each morning." "Place two drops in the right ear each morning and then again before bedtime." "Put one to two drops in the right ear whenever your child reports pain in the right ear." "Place three drops into the right ear four times a day."

"Place three drops into the right ear four times a day."

An older adult client comes to the clinic and informs the nurse that it feels as if the ear is clogged. The client reports frequently irrigating the ears to get out the wax. The client doesn't understand why the wax buildup occurs. What is the nurse's best response? "The wax build up is likely due to poor hygiene." "The wax build up is the result of modified sweat glands in the ear canal." The wax build up may be related to uncontrolled diabetes mellitus." "The cause of the wax build up is unknown, there could be several factors involved."

"The wax build up is the result of modified sweat glands in the ear canal."

A client has been prescribed atropine eyedrops. What education should the nurse provide prior to instillation? "These drops might sting a little bit, and they will make you temporarily sensitive to light." "These eyedrops will make it more difficult to close your eyes, but this will pass in a few hours." "These drops will make your pupil temporarily constrict so that your eye can be examined more closely." "These drops will make your eyes very bloodshot and sensitive, but this is only temporary."

"These drops might sting a little bit, and they will make you temporarily sensitive to light."

A nurse is administering multiple eyedrops of a single medication to a client. How long should the nurse wait between the instillation of drops? 1 minute 5 minutes 15 minutes 20 minutes

5 minutes

To ensure drops stay in the eye and avoid systemic absorption of the medication, the nurse should instruct the client to do what after instilling eyedrops? Apply finger pressure over the lacrimal sac for 1 to 2 minutes after instillation. Instruct the client to sit up with head tilted backward for 1 to 2 minutes after instillation. Instruct the client to not blink for 2 minutes after instillation. Instruct the client to apply firm pressure over the eye for 1 to 2 minutes after instillation.

Apply finger pressure over the lacrimal sac for 1 to 2 minutes after instillation.

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 Alpha2-Adrenergic agonists Cholinergic Carbonic anhydrase inhibitor

Beta blockers

Which of the following is an example of a beta-adrenergic blocking ophthalmic drop? (Choose one) Betaxolol (Betoptic) Ketorolac (Acular) Nedocromil (Alocril) Dexamethasone (Maxidex)

Betaxolol (Betoptic)

A nurse has completed an assessment of a client whose pupils have been medically dilated. How should the nurse document this finding in the client's medical record? Bilateral mydriasis noted Bilateral miosis noted Pupils are PERRLA Bilateral pupils reactive to light stimulation

Bilateral mydriasis noted

The practitioner has determined that a beta blocker is contraindicated in the client. The nurse anticipates the client will be prescribed what for glaucoma? Bimatoprost (Latisse) Isosorbide (Ismotic) Brimonidine (Alphagan P) Glycerin (Osmoglyn)

Brimonidine (Alphagan P)

A client who has been treated for Crohn's disease for 30 years with oral corticosteroids reports diminished visual acuity and states that everything looks dark. For what should the client be assessed? Cataracts Nearsightedness Farsightedness Conjunctivitis

Cataracts

An older adult client is brought to the clinic accompanied by his daughter. The daughter reports her father is having difficulty hearing recently. The nurse knows this might be occurring for what reason? Cerumen is thicker in older adults and accumulates, causing difficulty hearing. Elderly men often watch TV at very loud levels, so they lose their hearing. Old age is a cause of hearing loss. Older men have brittle bones, so he may have fractured one of the small bones in the ear.

Cerumen is thicker in older adults and accumulates, causing difficulty hearing.

What is the expected result of timolol maleate therapy? Decreased intraocular pressure (IOP) Constriction of pupils Promotion of lacrimation Improved visual acuity

Decreased intraocular pressure (IOP)

Which of the following is an example of a corticosteroid ophthalmic drop? (Choose one) Dexamethasone (Maxidex) Betaxolol (Betoptic) Ketorolac (Acular) Nedocromil (Alocril)

Dexamethasone (Maxidex)

A client has just been diagnosed with a fungal infection in his eye. Which medication should be used to treat the client's condition? Natamycin Atropine Gentamicin Silver nitrate

Natamycin

Health care providers use a combination drug to treat acute otitis externa. The nurse recognizes that AK-Spore is a combination of which of the following? Select all that apply. Neomycin Polymyxin hydrocortisone Thonzonium Colistin

Neomycin Polymyxin hydrocortisone

A nurse is demonstrating the correct technique for instilling antibiotic eardrops into a school-age child's ear canal. The nurse should teach the child's caregivers to implement which intervention? Have the child lie supine during instillation of the eardrops. Have the child lie still for 30 to 45 minutes after instilling the eardrops. Place a cotton ball in the ear canal after instilling the eardrops. Rinse the child's ear canal with normal saline prior to instilling the eardrops.

Place a cotton ball in the ear canal after instilling the eardrops.

A nurse is writing a care plan for a client who is being treated for glaucoma. Which of the following nursing diagnoses would be appropriate for this client? Select all that apply. Risk for Injury Related to Blurred Vision Risk for Body Image Disturbance related to eye discoloration Risk for Acute Pain related to increased intraocular pressure Risk for Body Image Disturbance related to increased weight gain Risk for liver failure related to yellow discoloration of the eye

Risk for Injury Related to Blurred Vision Risk for Body Image Disturbance related to eye discoloration Risk for Acute Pain related to increased intraocular pressure

A 10-year-old client is diagnosed with acute otitis media. What does the nurse anticipate the health care provider will prescribe? amoxicillin ciprofloxacin ibuprofen neomycin-polymyxin B

amoxicillin

The nurse is explaining the physiological changes that lead to glaucoma to a client who is newly diagnosed with the condition. The nurse correctly includes that glaucoma results from: a decrease in intraocular pressure (IOP). an increase in intraocular pressure (IOP). a cloudiness in the lens or lens capsule of the eye. a tear in the retina.

an increase in intraocular pressure (IOP).

When describing the various ingredients used in otic preparations, the nurse understands that antipyrine is used in which otic preparations? analgesic solvent decongestant anesthetic

analgesic

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. osteoarthritis. cholecystitis. gastresophageal reflux disease (GERD).

asthma

Which can a nurse recommend to a client to aid in removing cerumen? carbamide peroxide acetic acid phenylephrine hydrocortisone

carbamide peroxide

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? cataracts glaucoma myopia hyperopia

glaucoma

A client is taking an oral beta-adrenergic blocker for his congestive heart failure. He has just been diagnosed with glaucoma and prescribed carteolol, an ophthalmic beta blocker. What potentially dangerous adverse reaction should the nurse warn the client about? Hypotension Tingling in hands and feet Dry mouth Constipation

hypotension

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 management of nausea and vomiting improved night vision prevention of free radical damage promotion of capillary blood flow to the eyes, hands, and feet

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

A nursing student is studying medical terminology and identifies which of the following correctly to mean constriction of the pupil? mydriasis hyperopia myopia miosis

miosis

A client with glaucoma asks the nurse why it is necessary to use drops every day. The nurse responds that the drops help lower intraocular pressure (IOP) and that if IOP remains high, which complications can develop? (Select all that apply.) optic nerve damage visual loss diabetes blindness hypertension

optic nerve damage visual loss blindness

A nurse is preparing to apply a client's scheduled dose of bimatoprost. To reduce this client's risk of infection during administration, what action should the nurse take? warming the drops prior to instillation using sterile gloves when instilling the drug preventing the applicator from coming in contact with any surface Administering antibiotic eye drops immediately after administration of bimatoprost

preventing the applicator from coming in contact with any surface

The nurse identifies which as the correct method to instill ear drops in the adult client? pull the pinna of the ear down and forward pull the pinna of the ear up and back leave the pinna in place and instill the drops pull the pinna down and back

pull the pinna of the ear up and back

A client has been treated several times for a recurring ear infection with ofloxacin. The nurse instructs the client to look for side effects from the prolonged use of the antibiotic and informs the client that this is known as: allergic reaction. superinfection. anaphylactic reaction. allergy. skin rash.

superinfection

A mother has returned to the clinic with her child who appears to have another ear infection. During the assessment the mother mentions that putting the ear drops in is such a pain and after the child starts to feel better, she sometimes forgets to administer them. The nurse cautions the mother that which of the following can occur when antibiotics are not administered correctly? Superinfection Vertigo Hyperextended tympanic membrane Hypersensitivity to all antibiotics

superinfection

After being prescribed medications to treat glaucoma, a client informs the nurse of problem with fatigue, drowsiness, and palpitations since starting the medications. What should the nurse expect as the cause of the client's symptoms? local effects another disease process systemic effects other medications the client is taking

systemic effects

The nurse who provides care at long-term care facility should recognize that which resident has a risk factor that predisposes him/her to developing necrotizing otitis externa? Select all that apply. the resident prescribed calcium and vitamin D supplements for the treatment of osteoporosis the resident who was recently treated with antibiotics for an upper respiratory infection the resident diagnosed with type 2 diabetes who is now prescribed insulin therapy the resident receiving treatment for human immunodeficiency virus (HIV) the resident being evaluated for possible atrial fibrillation

the resident diagnosed with type 2 diabetes who is now prescribed insulin therapy the resident receiving treatment for human immunodeficiency virus (HIV)

The client with elevated intraocular pressure (IOP) is at risk for what ocular condition? Cataracts Vision loss Myopia Conjunctivitis

vision loss