Question 1

A patient has an infection of the eyelash follicles and in the gland on the eyelid margin.The nurse recognizes these symptoms as being consistent with which condition?

Accepted Answer

Hordeolum is a local infection of eyelash follicles and glands on the eyelid margin.Blepharitis is an infection of the margins of the eyelid.Chalazion is an infection of the glands of the eyelids that may produce cysts.Endophthalmitis is an infection of the structures of the inner eye.

Question 2

The nurse administers proparacaine HCl (Ophthaine)drops to a patient prior to an eye examination.What sign will the nurse look for to determine when the examination can begin?

Accepted Answer

Ophthaine is a topical anesthetic for the eye and causes loss of the blink reflex.Drying of the corneal epithelium is a side effect but occurs later as a result of the loss of the blink reflex.Blurred vision and photophobia result from mydriasis and miosis.

Question 3

The nurse is caring for a patient who has increased intraocular pressure.The provider has ordered a cholinergic agonist.The nurse will perform a thorough health history to make sure the patient does not have a history of which condition?

Accepted Answer

Cholinergic agonists can worsen conditions such as asthma and chronic bronchitis because they can cause airway constriction.

Question 4

The nurse is preparing to administer olopatadine (Patanol)eyedrops to a patient who has allergic conjunctivitis.The patient tells the nurse that the drops have caused burning and stinging.What action will the nurse take?

Accepted Answer

Burning and stinging are the most common side effects of this class of drugs but do not warrant withholding the medication.An over-the-counter lubricant is not indicated.These symptoms are not an indication of infection.

Question 5

The nurse is preparing to administer atropine sulfate drops as a mydriatic agent.Which assessment would cause the nurse to withhold the drug and notify the provider?

Accepted Answer

Atropine sulfate can cause systemic cardiovascular side effects such as tachycardia and hypertension.An elevated blood pressure warrants holding the drug and notifying the provider.

Question 6

The parent of a toddler asks the nurse what can be done to prevent otitis media.What will the nurse recommend?

Accepted Answer

The pneumococcal conjugate vaccine (PCV)protects children against S.pneumoniae and should be administered to all children to prevent otitis media.Antihistamines and decongestants have been shown to be ineffective in preventing otitis media.Removing cerumen helps to prevent otitis externa.

Question 7

The nurse is providing teaching for a patient who will begin using tobramycin ointment (Nebcin)0.5 inches 3 times daily.The patient currently uses pilocarpine HCl (Isopto Carpine)drops to treat glaucoma.Which statement by the patient indicates a need for further teaching?

Accepted Answer

Patients using both drops and ointments should instill the drops prior to applying the ointment.Ointments should be applied at bedtime if possible.Drops should be instilled into the conjunctival sac of the lower lid.Patients should always consult with their provider before discontinuing any medication.

Question 8

The nurse is counseling an adolescent patient who has recurrent otitis externa and who works as a lifeguard in the summer about preventing this condition.The nurse will teach this patient to

Accepted Answer

To help prevent otitis externa,patients should be counseled to use a portable hair dryer to dry the ears after swimming.Ear plugs are recommended.Prophylactic antibiotic eardrops are not indicated.A medical alert bracelet is not necessary.

Question 9

The nurse is performing a medication history on a patient who has glaucoma.The patient cannot remember the name of the drug prescribed but tells the nurse that the drug causes light sensitivity.The nurse knows that the drug is among which class of medications?

Accepted Answer

Alpha-adrenergic agonists cause mydriasis,which increases sensitivity to light.Beta-adrenergic blockers cause miosis,which impairs vision in the dark.Cholinergic agonists and cholinesterase inhibitors may cause myopia and will impair vision in the dark.

Question 10

The nurse is administering timolol (Timoptic)eye drops to a patient who has glaucoma.To prevent bradycardia,the nurse will perform which action?

Accepted Answer

Bradycardia is a systemic side effect of timolol.Applying pressure to the lacrimal ducts prevents the medication from being systemically absorbed and causing systemic side effects such as bradycardia.

Quiz 44: Eye and Ear Disorders

A patient has an infection of the eyelash follicles and in the gland on the eyelid margin.The nurse recognizes these symptoms as being consistent with which condition?

The nurse administers proparacaine HCl (Ophthaine) drops to a patient prior to an eye examination.What sign will the nurse look for to determine when the examination can begin?

The nurse is caring for a patient who has increased intraocular pressure.The provider has ordered a cholinergic agonist.The nurse will perform a thorough health history to make sure the patient does not have a history of which condition?

The nurse is preparing to administer olopatadine (Patanol) eyedrops to a patient who has allergic conjunctivitis.The patient tells the nurse that the drops have caused burning and stinging.What action will the nurse take?

The nurse is preparing to administer atropine sulfate drops as a mydriatic agent.Which assessment would cause the nurse to withhold the drug and notify the provider?

The parent of a toddler asks the nurse what can be done to prevent otitis media.What will the nurse recommend?

The nurse is providing teaching for a patient who will begin using tobramycin ointment (Nebcin) 0.5 inches 3 times daily.The patient currently uses pilocarpine HCl (Isopto Carpine) drops to treat glaucoma.Which statement by the patient indicates a need for further teaching?

The nurse is counseling an adolescent patient who has recurrent otitis externa and who works as a lifeguard in the summer about preventing this condition.The nurse will teach this patient to

The nurse is performing a medication history on a patient who has glaucoma.The patient cannot remember the name of the drug prescribed but tells the nurse that the drug causes light sensitivity.The nurse knows that the drug is among which class of medications?

The nurse is administering timolol (Timoptic) eye drops to a patient who has glaucoma.To prevent bradycardia,the nurse will perform which action?