Deck 42: Ophthalmic Drugs

Question 1

Which of the following would the nurse assess for as a systemic adverse effect for a client receiving atropine ophthalmic therapy?

A) Fast,irregular pulse
B) Slow,bounding pulse
C) Skin rash
D) Skin oiliness

Answer 1

Fast,irregular pulse

Question 2

What precaution is taken by the nurse to maintain the sterility of an eye medication?

A) Allow the tip of the eyedropper to touch the cornea
B) Not allow the tip of the eyedropper to touch anything
C) Rinse out the eyedropper with tap water
D) Not allow the medication to flow into the bulb of the eyedropper

Answer 2

Not allow the tip of the eyedropper to touch anything

Question 3

The nurse is giving instructions to a client who will be using an ophthalmic preparation of a corticosteroid for an eye inflammation.The nurse explains to the client that it will be important to monitor for which of the following adverse effects?

A) Swelling
B) Infection
C) Blurred vision
D) Itching and stinging of the eye

Answer 3

Infection

Question 4

A client with chronic obstructive pulmonary disease also has glaucoma and requires treatment with a $\beta$ -adrenergic blocker.The nurse anticipates that which of the following drugs will be prescribed for this client?

A) Levobunolol (Betagan)
B) Carteolol (Ocupress)
C) Betaxolol (Betoptic)
D) Timolol (Timoptic)

Question 5

To produce mydriasis,the eye clinic nurse anticipates that an ophthalmologist would most likely administer which of the following drugs?

A) Carbachol (Carboptic)
B) Atropine (Isopto Atropine)
C) Acetazolamide (Diamox)
D) Bacitracin (Baciguent)

Question 6

A client indicates an understanding of the adverse effects of $\beta$ -adrenergic blocking ophthalmic agents by stating they include

A) local reactions such as burning or stinging.
B) visual disturbances.
C) pruritus.
D) eye inflammation.

Question 7

The nurse teaches a client that an epinephrine ophthalmic solution is most often given to

A) treat a topical hemorrhage.
B) dilate the conjunctiva during an acute exacerbation.
C) increase the production of aqueous humor.
D) decrease the outflow of vitreous humor.

Question 8

The nurse working in an eye center would use a 5% solution of sodium chloride for which of the following clients as ordered?

A) A client with cataracts
B) A client with corneal edema
C) A client undergoing an eye examination
D) A client with conjunctivitis

Question 9

The nurse who is concerned about the risk for systemic absorption of an ophthalmic drug for a client with cardiovascular disease would have special concerns related to which type of ophthalmic medication?

A) Cholinergics
B) Anticholinergics
C) Adrenergic agonists
D) $\beta$ blockers

Question 10

The nurse explains to a client that which of the following medications will help to relieve symptoms of allergic conjunctivitis?

A) Timolol (Timoptic)
B) Latanoprost (Xalatan)
C) Levocabastine (Livostin)
D) Pilocarpine (Pilocar)

Question 11

The nurse would be sure to monitor a client receiving chloramphenicol ophthalmic therapy for which of the following adverse effects?

A) Elevated aspartate aminotransferase,lactate dehydrogenase,and creatine phosphokinase levels
B) Weight gain
C) Decreased white and red blood cell counts
D) Elevated leukocyte and monocyte counts

Question 12

A client taking sulfacetamide (Sulamyd)for conjunctivitis notes that the solution is brown in color and calls the physician's office.The nurse should provide which of the following instructions to the client?

A) Gently shake the solution
B) Warm it under running water
C) Discard it and obtain a new preparation
D) Place it in the refrigerator for 15 minutes before use

Question 13

The nurse would assess which of the following symptoms in a client who had clinical toxicity from pilocarpine?

A) Constipation
B) Dry mouth
C) Asthma
D) Hypertension

Question 14

A client has been advised to use triple antibiotic ointment (neomycin,polymyxin B sulfate,and bacitracin)as treatment for a superficial eye infection.Monitoring for which of the following adverse effects would be of highest priority to the nurse?

A) Hypersensitivity reaction
B) Redness
C) Systemic effects
D) Local inflammation

Question 15

The nurse evaluates that a client is having the expected outcome of drug therapy with erythromycin ophthalmic ointment after noting which of the following?

A) Decreasing intraocular pressure reading
B) Reduction in eye inflammation,drainage,and discomfort
C) Clearing of an opacified lens
D) Absence of reports of yellow-green vision

Question 16

To provide continuous drug release,the nurse may administer pilocarpine as ordered by which of the following methods?

A) Iontophoresis
B) Retrobulbar injection
C) Ocular gel formations
D) Injection into the vitreous chamber of the eye

Question 17

If increased intraocular pressure persists in a client,the nurse suspects that which of the following complications is most likely to occur?

A) Dilation of the ciliary muscles
B) Permanent dilation of the pupil
C) Reversible damage to the visual apparatus
D) Irreversible blindness

Question 18

A client is using an ophthalmic preparation of gentamicin (Garamycin)for an eye infection.The nurse would teach the client to minimize the risk of systemic absorption by doing which of the following?

A) Close the eyelid and roll the eye upward and downward
B) Look back and forth with the eye open
C) Blink several times quickly
D) Apply pressure to the inside corner of the eye

Question 19

Before administering epinephrine ophthalmic ointment,the nurse would need to assess the client for which of the following preexisting conditions?

A) Low blood pressure
B) Increased pulse rate
C) Miosis
D) Decreased respirations

Question 20

The nurse working in an eye center realizes that a client receiving chymotrypsin (Catarase)has which of the following eye problems?

A) Conjunctivitis
B) Hordeolum
C) Cataract
D) Glaucoma

Question 21

The nurse in the emergency department is caring for a client who just sustained a chemical eye injury.The nurse immediately irrigates the eye with which of the following preferred sterile solutions?

A) 0.45% Sodium chloride
B) 0.9% Sodium chloride
C) 0.225% Sodium chloride
D) Water

Question 22

A client with glaucoma will begin drug therapy with carbachol (Carboptic).The nurse stresses to the client that which of the following adverse effects could negatively affect safety?

A) Brow pain
B) Ciliary spasm
C) Headache
D) Reduced adaptation to light

Question 23

The nurse working in a physician's office notes that a client lists diclofenac (Voltaren)on the medication history.The nurse asks if the client about a very recent history of

A) Cataract surgery
B) Glaucoma
C) Seasonal allergy
D) Eye infection

Question 24

A client asks the nurse how the newly prescribed ophthalmic preparation of latanoprost (Xalatan)works.The nurse replies that this drug is intended to

A) decrease production of aqueous humor.
B) increase aqueous humor outflow from the eye.
C) reduce eye redness and itching from seasonal allergies.
D) eliminate signs and symptoms of eye infection.

Question 25

A client is using timolol (Timoptic)eye drops as treatment for glaucoma.The nurse stresses that the client should contact the prescriber immediately if which of the following symptoms develops?

A) Eye pain
B) Local redness
C) Stinging sensation in the eye
D) Wheezing

Question 26

A client is receiving an ophthalmic preparation of a carbonic anhydrase inhibitor.The nurse understands that the ophthalmic route,rather than the oral route,is the only means of treating which of the following eye conditions?

A) Secondary glaucoma
B) Ocular hypertension
C) Detached retina
D) Angle-closure glaucoma

Question 27

A client who is in coma has artificial tears at the bedside for eye lubrication.The nurse should plan to use this preparation how many times per day?

A) 1 to 2
B) 3 to 4
C) 5 to 6
D) 6 to 8

Question 28

The nurse is explaining the use of pilocarpine (Isopto Carpine)to a client with glaucoma.The nurse would share with the client that the miotic effects of the drug would occur in approximately

A) 2 to 5 minutes.
B) 10 to 30 minutes.
C) 45 to 60 minutes.
D) 60 to 90 minutes.

Question 29

The nurse would be sure to include which unique adverse effect when teaching a client about a new prescription for latanoprost (Xalatan)?

A) It causes a brown pigmentation in the iris
B) It leads to yellow-green vision over time
C) It may require a change in eyeglass prescription
D) It reduces night vision

Question 30

A client with a suspected eye injury undergoes evaluation with fluorescein (Fluorocyte).If an injury is present,the nurse anticipates seeing which of the following colors when an ultraviolet light shines on the eye?

A) Blue
B) Red
C) Yellow
D) Green