Question 1

The client receives medications for glaucoma. She asks the nurse what over -the -counter (OTC) medication she can take for her allergic rhinitis. What is the best response by the nurse?&#10;A) &#34;You can take an antihistamine, but avoid decongestants.&#34;&#10;B) &#34;You should use nasal sprays instead of oral preparations.&#34;&#10;C) &#34;You will need to avoid antihistamines as well as decongestants.&#34;&#10;D) &#34;You can take a decongestant, but avoid antihistamines.&#34;

Accepted Answer

&#34;You will need to avoid antihistamines as well as decongestants.&#34;

Question 2

The client is to receive eye drops for glaucoma. What is the correct method of administration?&#10;A) Place the drop in the conjunctival sac below the eye.&#10;B) Turn the head to the side so that the drop flows to the outer corner.&#10;C) Place the drop in the centre of the eye.&#10;D) Place the drop so it falls on the white part of the eye.

Accepted Answer

The correct method of administering eye drops for glaucoma is to place the drop in the conjunctival sac below the eye. This is done by pulling down on the lower lid to create a small pocket and then placing the drop in that pocket. This allows the medication to be absorbed into the eye and be most effective. Turning the head to the side or placing the drop in the center of the eye or on the white part of the eye are not recommended methods for administering eye drops for glaucoma.

Question 3

The client tells the nurse that when he uses his eye drops they sting his eyes. What is the best response by the nurse?&#10;A) &#34;Hold the next dose and contact your physician.&#34;&#10;B) &#34;This is a normal and expected effect of the drops.&#34;&#10;C) &#34;Your eye drops may have expired; check the date.&#34;&#10;D) &#34;You should wash your eyes immediately with saline.&#34;

Accepted Answer

Stinging can be a common and expected side effect of many eye drops due to the active ingredients or preservatives they contain. It's important for patients to be aware that this sensation, although uncomfortable, is typically normal and doesn't necessarily indicate a problem with the medication or its expiration.

Question 4

The client has excess cerumen in his ears. What will the best plan of the nurse include as to the safe removal of the cerumen?&#10;A) Take hot showers to facilitate drainage.&#10;B) Use warm water and a bulb syringe.&#10;C) Instill 2% acetic acid in each ear.&#10;D) Use a sterile Q -tip to remove cerumen.

Accepted Answer

Using warm water and a bulb syringe is a safe and effective method to remove excess cerumen in the ears. Hot showers and sterile Q-tips should not be used as they can potentially cause injury or push the cerumen further into the ear canal. Instilling 2% acetic acid should only be done under the guidance of a healthcare professional.

Question 5

The client receives eye drops as treatment for glaucoma. The client calls the clinic one day and tells the nurse that his eye colour is changing. What is the best response by the nurse?&#10;A) &#34;Are you sure that your eyes have changed colour?&#34;&#10;B) &#34;What do you mean that your eyes have changed colour?&#34;&#10;C) &#34;This is an expected side effect of the medication.&#34;&#10;D) &#34;This is unusual; please come in for an evaluation.&#34;

Accepted Answer

Certain medications used to treat glaucoma, such as prostaglandin analogs, can cause pigmentation changes in the iris, leading to a gradual change in eye color. This is a known side effect and not typically a cause for alarm.

Question 6

The client asks the nurse how glaucoma develops. What is the best response by the nurse? Select all that apply.&#10;A) &#34;Having blue eyes are a risk factor in the development of glaucoma.&#34;&#10;B) &#34;High blood pressure can certainly lead to the development of glaucoma.&#34;&#10;C) &#34;Having diabetes is a risk factor in the development of glaucoma.&#34;&#10;D) &#34;When the pressure in your eye is high enough to cause optic nerve damage, glaucoma can develop.&#34;&#10;E) &#34;Drugs like antihistamines and antidepressants can contribute to glaucoma.&#34;

Accepted Answer

The answer of The client asks the nurse how glaucoma...

Question 7

The client receives timolol (Timoptic) eye drops for glaucoma. The nurse has completed medication education and evaluates learning has occurred when the client makes which statement?&#10;A) &#34;I will refrain from using over -the -counter (OTC) cold remedies.&#34;&#10;B) &#34;I will discontinue the drops if my eye looks red.&#34;&#10;C) &#34;I will store my drops in the refrigerator to keep them fresh.&#34;&#10;D) &#34;I will restrict my caffeine to one cup per day.&#34;

Accepted Answer

Timolol (Timoptic) is a beta-blocker used in the treatment of glaucoma. It can interact with over-the-counter (OTC) cold remedies, which often contain sympathomimetics that can increase blood pressure and counteract the effects of timolol. Therefore, avoiding OTC cold remedies is a correct understanding of how to manage medication therapy effectively.

Question 8

The client tells the nurse that he experiences frequent eye irritation even after using over -the -counter (OTC) medications. What is the best recommendation by the nurse?&#10;A) Increase your fluid intake; you are probably dehydrated.&#10;B) See your eye doctor for further evaluation.&#10;C) Use normal saline rinses instead of over -the -counter (OTC) preparations.&#10;D) This sounds like an allergic response; try an antihistamine.

Accepted Answer

Since the client has already tried OTC medications for their eye irritation and it has not resolved the issue, it would be best for them to see their eye doctor for further evaluation. The eye doctor can assess for any underlying conditions or infections that may be causing the eye irritation and provide appropriate treatment.

Question 9

The client has glaucoma. Which assessment finding indicates to the nurse that a client's medical regimen could have contributed to onset of glaucoma?&#10;A) taking glucocorticoids to treat arthritis&#10;B) occasional use of antihistamines for allergies&#10;C) taking a beta -blocker to treat hypertension&#10;D) regular use of an anticholinergic drug for urinary incontinence

Accepted Answer

Regular use of an anticholinergic drug for urinary incontinence can cause an increase in intraocular pressure and contribute to the onset of glaucoma. Glucocorticoids, antihistamines, and beta-blockers are not typically associated with glaucoma.

Question 10

The nurse has taught the client about glaucoma. The nurse evaluates learning has occurred when the client makes which statement?&#10;A) &#34;I will need to continually increase the dose of my eye drops.&#34;&#10;B) &#34;I can stop the eye drops when the glaucoma has resolved.&#34;&#10;C) &#34;I must use my eye drops as prescribed for the rest of my life.&#34;&#10;D) &#34;The eye drops only need to be used when my eyes hurt.&#34;

Accepted Answer

The client's statement that they must use eye drops as prescribed for the rest of their life shows an understanding of the chronic nature of glaucoma and the need for ongoing treatment. The other options are incorrect - increasing the dose of eye drops without physician approval can be harmful, stopping eye drops too soon can cause recurrence of glaucoma, and using eye drops only when eyes hurt does not address the need for continuous treatment to prevent further damage to vision.

Question 11

The client wears contact lenses and has been prescribed eye drops. What will the best education by the nurse include with regard to contact lenses?&#10;A) Instill the drops with the contacts in as long as they are the hard kind of contacts.&#10;B) Instill the drops with the contacts in as long as they are the soft kind of contacts.&#10;C) Eyeglasses must be worn for as long as the client must have the eye drops.&#10;D) Remove lenses before instilling eye drops; do not reinsert lenses for 15 minutes.

Accepted Answer

The answer of The client wears contact lenses and has...

Question 12

The client is to receive ear drops. What is the correct method of administration that the nurse plans to teach the client?&#10;A) Sit up straight and turn your head to the side.&#10;B) Hold your head back while you instill the drops.&#10;C) Prop your head on a pillow after administering the drops.&#10;D) Lie on the unaffected side to instill your drops.

Accepted Answer

The answer of The client is to receive ear drops....

Question 13

The client is scheduled for an eye exam. Prior to the exam the physician will put a cycloplegic drug, atropine sulfate (Isopto Atropine) eye drops in the client's eyes. What will the nurse teach the client about these eye drops?

A) The drugs will dilate the pupil and lubricate the eye to provide additional comfort during the examination.
B) The drops will dilate the pupil so the physician can better visualize the retina during examination.
C) The drops will paralyze the ciliary muscle so the eye will not move during the examination.
D) The drops dilate the pupil and paralyze the ciliary muscle to prevent the lens from moving during examination.

Accepted Answer

The answer of The client is scheduled for an eye...

Question 14

The client receives two different eye drop medications. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?&#10;A) &#34;I will give two drops of one medication, wait one minute, and then give two drops of the other medication.&#34;&#10;B) &#34;I will give two drops of one medication, wait five minutes, and then give two drops of the other medication.&#34;&#10;C) &#34;I will give two drops of one medication and then two drops of the other medication.&#34;&#10;D) &#34;I will wait for five minutes between each set of drops for each of the medications.&#34;

Accepted Answer

The answer of The client receives two different eye drop...

Question 15

The client asks the nurse what kind of glaucoma she has. The nurse tells her she has open -angle glaucoma. What does the client understand this to be? Select all that apply.&#10;A) &#34;This is a gradual process; it may take years.&#34;&#10;B) &#34;This is a medical emergency until drops are started.&#34;&#10;C) &#34;My eye cannot drain the fluid that it produces.&#34;&#10;D) &#34;This is the most common kind of glaucoma.&#34;&#10;E) &#34;One of the first signs of this is pain behind my eyes.&#34;

Accepted Answer

The answer of The client asks the nurse what kind...

Deck 48: Drugs for Eye and Ear Disorders