Saunders - Eye & Ear Med
The nurse is reinforcing instructions to a client with glaucoma receiving acetazolamide daily. Which statement by the client indicates an understanding of the adverse effects related to the medication?
"I need to call the doctor if I notice dark urine and stools."
A pilocarpine ocular system is prescribed for the client with glaucoma. The nurse reinforces instructions to the client regarding the medication. Which statement by the client indicates an understanding of the use of this medication?
"I should check my eye each morning to make sure that the medication system is in place."
The nurse is caring for a client with glaucoma who is receiving acetazolamide daily. Which sign/symptom indicates to the nurse that the client is experiencing an adverse effect related to the medication?
Low back pain and dysuria
The nurse in the emergency department is preparing to instill fluorescein into the eye of a client with the complaint of eye pain. Fluorescein dye is used to detect which conditions? Select all that apply.
Foreign object Corneal abrasion
A client has been instructed by the primary health care provider to alternate the use of hydrogen peroxide and glycerin eardrops to loosen an impacted accumulation of earwax. The nurse gives the client which directions to accomplish this daily procedure safely and independently?
"Use the solutions at body temperature for 7 to 14 days."
The nurse is concerned that a client may experience systemic effects from a beta-blocker ophthalmic solution. The nurse realizes the client is able to self-administer the medication if the client instills the drops in which manner?
Applies digital pressure to the lacrimal sac for 1 to 2 minutes after instillation
A licensed practical nurse (LPN) is reviewing the medication list of the client with a history of glaucoma. The LPN should consult with the registered nurse if which medication is prescribed for the client?
Atropine sulfate
The nurse reinforces instructions to a client who has been prescribed betaxolol eye drops for the treatment of glaucoma. The nurse instructs the client regarding the administration of the medication and about the importance of returning to the clinic for which assessment?
Blood pressure and apical pulse
Latanoprost drops are prescribed for the client with glaucoma. The client returns to the health care clinic for evaluation. Which finding noted in the client indicates a side effect associated with the use of these eye drops?
Brown pigmentation of the iris
Which finding indicates a side effect associated with the use of latanoprost eye drops?
Brown pigmentation of the iris
A client with chronic glaucoma is being started on medication therapy with acetazolamide. The nurse reinforces instructions to the client that which symptom can occur early but subsides or disappears with continued treatment?
Diuresis
The nurse is teaching a mother how to administer eardrops to an infant. The nurse determines the mother understands instructions if the mother demonstrates pulling the ear in which manner?
Down and back and directing the solution toward the wall of the canal
The nurse is caring for a client who has been taking acetazolamide for glaucoma. The nurse reviews the assessment data documented in the client's medical record and determines that an adverse effect of the medication may be occurring if which result is noted?
Jaundice
A client is being discharged to home with a prescription for eye drops to be given in the left eye. The nurse has shown the client how to self-administer the drops. The nurse determines that the client needs further teaching if the client performs which actions during a return demonstration?
Lies supine, pulls up on the upper lid, and puts the drop in the upper lid
The nurse has reinforced instructions to a client regarding the method for instilling eye drops into the left eye. The nurse determines that the client needs further teaching if the client does which during a return demonstration?
Lies supine, pulls up on the upper lid, and puts the drop in the upper lid
The nursing student is caring for a client scheduled for cataract surgery. The student reviews the preoperative prescriptions with the nursing instructor and notes that cyclopentolate eye drops are prescribed to be administered preoperatively. The unit nurse performed an admission health assessment on the client before surgery. Which condition contraindicates using cyclopentolate?
Liver disease
A client who has just been diagnosed with glaucoma has been given a prescription for a miotic medication. When reinforcing instructions to the client about medication effects, the nurse plans to tell the client that the medication works in which manner?
Lowers intraocular pressure and enhances blood flow to the retina
The nurse is preparing to administer eardrops to an infant. How should the nurse administer the eardrops?
Pull down and back on the ear, and direct the solution toward the wall of the canal.
The nurse is providing instructions to a mother regarding the administration of eardrops for her infant. The nurse observes the mother administer the drops and determines that the mother is performing the procedure correctly if the mother performs what action?
Pulls down and back on the earlobe and directs the solution toward the wall of the canal
The nurse is administering gentamicin sulfate ophthalmic ointment to a client. After instilling the ointment, the nurse reinforces instructions to the client to close the eye and perform which action?
Roll the eyeball in all directions.
The nursing student is asked about the medication latanoprost and how this medication helps glaucoma. The student responds correctly by identifying which as the medication's mechanism of action?
To facilitate the outflow of aqueous humor
