Deck 57: Ophthalmic Drugs

Question 1

A patient is receiving ocular cyclosporine (Restasis) and also has an order for an artificial tears product. The nurse includes which instructions in the teaching plan for these medications?

A) "These two eye drugs cannot be given together. Let's check with your prescriber."
B) "You may take these two drugs together at the same time."
C) "First take the artificial tears, and then take the Restasis after 5 minutes."
D) "Take the Restasis first, and then wait 15 minutes before taking the artificial tears."

Answer 1

"Take the Restasis first, and then wait 15 minutes before taking the artificial tears."

Question 2

A patient with an eye injury requires an ocular examination to detect the presence of a foreign body. The nurse anticipates that which drug will be used for this examination?

A) Phenylephrine (Neo-Synephrine)
B) Fluorescein sodium (AK-Fluor)
C) Atropine sulfate (Isopto Atropine)
D) Olopatadine (Patanol)

Answer 2

Fluorescein sodium (AK-Fluor)

Question 3

When teaching a patient about the proper application of eyedrops, the nurse will include which instruction?

A) "Apply the drops into the conjunctival sac instead of directly onto the eye."
B) "Apply the drops directly to the eyeball (cornea) for the best effect."
C) "Blot your eye with a tissue immediately after applying the drops."
D) "Tilt your head forward before applying the eyedrops."

Answer 3

"Apply the drops into the conjunctival sac instead of directly onto the eye."

Question 4

A patient is about to undergo ocular surgery. The preoperative nurse anticipates that which drug will be used for local anesthesia?

A) Oral glycerin
B) Proparacaine (Alcaine)
C) Timolol (Timoptic)
D) Dipivefrin (Propine)

Question 5

The nurse will be giving ophthalmic drugs to a patient with glaucoma. Which drug is given intravenously to reduce intraocular pressure when other medications are not successful?

A) Tobramycin (Tobrex)
B) Bacitracin (AK-Tracin)
C) Mannitol (Osmitrol)
D) Ketorolac (Acular)

Question 6

The nurse is administering ophthalmic drops. Choose the action that should be performed first.

A) Close the eye gently.
B) Apply gentle pressure to the inner canthus/lacrimal sac for 1 minute.
C) Place drops into the conjunctival sac.
D) Clean debris from the eye as needed.
E) Have the patient tilt the head back and look up at the ceiling.
F) Remove excess medication gently from around the eyes.

Question 7

A patient has a new prescription for an antiglaucoma eyedrop. The next day, she calls the clinic and states, "The package insert says this medication might make my blue eyes turn brown! Is this true?" The nurse realizes that the patient has a prescription for which eye medication?

A) Latanoprost (Xalatan), a prostaglandin agonist
B) Dorzolamide (Trusopt), an ocular carbonic anhydrase inhibitor
C) Betaxolol (Betoptic), a direct-acting beta blocker
D) Pilocarpine (Pilocar), a direct-acting cholinergic

Question 8

The nurse is reviewing the use of ophthalmic preparations. Indications for the direct- and indirect-acting miotics include which condition?

A) Cataracts
B) Removal of foreign bodies
C) Open-angle glaucoma
D) Ocular infections

Question 9

A patient will be receiving mannitol (Osmitrol), 1.5 g/kg IV 1 hour before ocular surgery. The patient weighs 110 pounds. How many grams of mannitol will this patient receive for this dose? _______

Question 10

The nurse is reviewing the medical record of a patient and notes an order for ophthalmic dexamethasone (Decadron) solution. The nurse knows that indications for ophthalmic dexamethasone include which conditions?

A) Uveitis
B) Allergic conditions
C) Removal of foreign bodies
D) Ocular infections
E) Glaucoma
F) Conjunctival inflammation

Question 11

The nurse is administering antibiotic eyedrops to a patient for the first time. After the first drop is given, the patient states, "That eyedrop is making my eye sting! Is that normal?" Which is the best response by the nurse?

A) "That's unusual. Let me rinse the medication from your eye."
B) "Sometimes these eyedrops may cause burning and stinging, but it should go away soon."
C) "These may be serious side effects, so I will notify your doctor before the next dose is due."
D) "Let's wait and see if these effects happen the next time you receive these drops."

Question 12

A patient has been taking the corticosteroid dexamethasone (Decadron) but has developed bacterial conjunctivitis and has a prescription for gentamicin (Garamycin) ointment. The nurse notes that which interaction is possible if the two drugs are used together?

A) The infection may become systemic.
B) The gentamicin effects may become more potent.
C) The corticosteroid may cause overgrowth of nonsusceptible organisms.
D) Immunosuppression may make it more difficult to eliminate the eye infection.