Deck 38: Drugs for Eye and Ear Disorders

Question 1

Which medications are appropriate for minor irritation and injury? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)NSAIDs
2)Diphenhydramine HCl (Benadryl)
3)Antimicrobials
4)Local anesthetics
5)Insulin (Humulin R)

Answer 1

1,3,4

Question 2

The client has been prescribed travoprost (Travatan).When does the nurse anticipate the maximum effect of this medication occurs?
1)12 hours after administration
2)4 hours after administration
3)2 hours after administration
4)6 hours after administration

Answer 2

1

Question 3

In the anterior chamber of the eye,what is the medical term for the watery fluid that is found here?
1)Ciliary body
2)Canal of Schlemm
3)Trabecular meshwork
4)Aqueous humor

Answer 3

4

Question 4

To prevent systemic absorption of timolol (Timoptic),what administration instructions are appropriate for the nurse to include in the teaching?
1)Apply pressure over the lacrimal sac for 1 minute.
2)Wait 5 minutes before administering other ophthalmic solutions.
3)Administer the eyedrop in the conjunctival sac.
4)Remove contact lenses prior to administering eyedrops.

Question 5

A client has been prescribed latanoprost (Xalatan).The nurse informs the client regarding potential side effects.Which side effect is not appropriate for the nurse to include in the client teaching?
1)Decreased pigmentation
2)Dryness
3)Photophobia
4)Heightened pigmentation

Question 6

A client has been prescribed timolol (Timoptic).When does the maximum therapeutic effect occur for the medication?
1)It takes 6-8 weeks.
2)It begins immediately.
3)It takes 2-4 weeks.
4)It takes 1-2 weeks.

Question 7

The client asks the nurse which OTC medication will lubricate the eye and cause vasoconstriction.Which response by the nurse is correct?
1)"Oxymetazoline (OcuClear)."
2)"Betaxolol (Betaoptic)."
3)"Polyvinyl alcohol (Liquifilm)."
4)"Lanolin alcohol (Lacri-lube)."

Question 8

The nurse is caring for a client who is diagnosed with glaucoma.The client wants to know why this condition can lead to blindness.What is the best response by the nurse?
1)The fluid in the eye blocks the optic nerve.
2)Pressure around the optic nerve builds over time.
3)The optic nerve cannot transmit signals with glaucoma.
4)The optic nerve atrophies.

Question 9

Following an extensive eye examination where a mydriatic agent was utilized,which nursing diagnosis is most appropriate for the client?
1)Pain,related to chemical agents
2)Risk for injury,related to visual acuity deficits
3)Self-care deficit,related to impaired vision
4)Deficient knowledge,related to disease process

Question 10

The nurse is providing education to a client with a history of earwax buildup.Which medication does the nurse include in the teaching session?
1)Acetic acid and hydrocortisone (Vosol HC)
2)Ciprofloxacin hydrochloride and hydrocortisone (Cipro HC)
3)Carbamide peroxide (Debrox)
4)Polymyxin B,neomycin,and hydrocortisone (Cortisporin)

Question 11

The nurse is caring for a client with closed-angle glaucoma.What are the characteristics of this disorder the nurse must be aware of when providing care? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)It is caused by stress.
2)It is the most common type of glaucoma.
3)It is caused by impact injury.
4)The pressure develops slowly,over time.
5)The pressure develops quickly.

Question 12

What instructions are appropriate for the nurse to include when teaching a client ways to prevent "swimmer's ear"?
1)Use of glucocorticoid drops to prevent inflammation
2)Application of 2% acetic acid to the ear canal after swimming
3)Gently cleaning the ear canal with a swab to remove water or debris
4)Use of earwax-dissolving agents to help prevent irritation

Question 13

What is the most appropriate explanation as to why dipivefrin hydrochloride (Propine)effectively decreases intraocular pressure?
1)The exact mechanism is not fully understood.
2)It decreases the formation of aqueous humor.
3)It reduces plasma volume very quickly.
4)It converts to epinephrine and increases outflow of aqueous humor.

Question 14

Which medication does the nurse anticipate for a client who will undergo an ophthalmic examination?
1)Antimicrobials and local anesthetics
2)Local anesthetics and NSAIDs
3)Corticosteroids and antibiotics
4)Cycloplegics and mydriatics

Question 15

Which medications increase the outflow of aqueous humor? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Miotics
2)Sympathomimetics
3)Prostaglandins
4)Beta blockers
5)Calcium channel blockers

Question 16

The nurse is caring for a client with open-angle glaucoma.What are the characteristics of this disorder the nurse must be aware of when providing care? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)It is caused by impact injury.
2)It is the most common type of glaucoma.
3)Intraocular pressure develops slowly.
4)The iris does not cover trabecular meshwork.
5)Intraocular pressure develops quickly.

Question 17

The client complains of blurry vision after using pilocarpine (Isopto Carpine).Which explanation about the blurry vision is most appropriate by the nurse?
1)"This is a common reaction,but should be temporary."
2)"Use only half the dose,and monitor the results."
3)"I will have the physician prescribe something different for you."
4)"You have an allergy,and should stop using the drops."

Question 18

The nurse is reviewing a medication administration record.Which medication from the list is considered a mydriatic agent?
1)Phenylephrine (Neo-Synephrine)
2)Cyclopentolate (Cyclogyl)
3)Atropine sulfate (Isopto Atropine)
4)Scopolamine hydrobromide (Isopto Hyoscine)

Question 19

Which medications decrease the formation of aqueous humor? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Carbonic anhydrase inhibitors
2)Alpha2-adrenergic agents
3)Osmotic diuretics
4)Prostaglandins
5)Beta-adrenergic blockers

Question 20

The client has been diagnosed with acute glaucoma.What are the common causes for this condition?
1)Trauma or hemorrhage
2)Increased intracranial pressure
3)Decreased intraocular pressure
4)Diabetes mellitus or renal disease

Question 21

Neomycin and hydrocortisone (Cortisporin)may be used in combination to treat ear infections.What is the combined effect of these medications?
1)Antipyretic and antifungal
2)Anti-inflammatory and antibiotic therapy
3)Antibiotic therapy with an analgesic
4)Antibiotic and prophylactic therapy

Question 22

The nurse is caring for a client who is experiencing inflammation that involves the middle ear.What is the appropriate medical term for the nurse to include in the documentation for this client?
1)Swimmer's ear
2)Mastoiditis
3)Otitis media
4)Otitis externa

Question 23

Which area of the eye is responsible for allowing aqueous humor to drain from the anterior chamber?
1)Ciliary body
2)Canal of Schlemm
3)Trabecular meshwork
4)Aqueous humor

Question 24

What instruction is appropriate for a client who wants to clean the ear canal?
1)Use a bulb syringe approved for removing debris and cold water.
2)Never attempt to clean the ear canal at home.
3)Use a bulb syringe approved for removing debris and warm water.
4)Use a cotton swab.