Deck 49: Drugs for Eye and Ear Disorders

Question 1

A client has increased intraocular pressure, and pilocarpine (Isopto Carpine, Pilopine HS, others) has been ordered. The nurse needs to review the medical history because this drug would be contraindicated for the client with:

A) asthma.
B) cardiovascular disease.
C) kidney disease.
D) ulcer disease.

Answer 1

asthma.

Question 2

A client is to be treated with a carbonic anhydrase inhibitor as a means to decrease intraocular pressure. What priority instruction should be included in the nurse's teaching plan?

A) Allow 5 to 10 minutes after instillation before using another medication.
B) Provide strict fluid restrictions at all times.
C) Provide environmental safety and seizure precautions.
D) Encourage the client to sit in sunlight to enhance metabolism of the drug.

Answer 2

Allow 5 to 10 minutes after instillation before using another medication.

Question 3

The client is scheduled for ophthalmic surgery. She tells the nurse that she typically self-medicates with herbs for various ailments in the home setting. What is the most accurate response from the nurse?

A) "Herbal therapy may actually intensify any discomfort from the surgery."
B) "Any herbal therapy must be discontinued before the client undergoes surgery."
C) "Herbal therapy may lead to a better surgical outcome for the client."
D) "Any herbal therapy that has been started before surgery should be continued."

Answer 3

"Any herbal therapy must be discontinued before the client undergoes surgery."

Question 4

The nurse is completing a health history on a client who is scheduled to be treated with cyclopentolate (Cyclogyl). Which finding would cause the nurse to contact the physician?

A) Parkinsonism
B) Pregnancy
C) Asthma
D) Glaucoma

Question 5

A client is using the ocular therapeutic system. She tells the nurse that she typically changes the Ocusert every 10 days to save money. What is the most accurate response from the nurse?

A) "This practice will allow you to achieve a more therapeutic response from your medication."
B) "This practice is not recommended, but is allowable under the circumstances."
C) "This practice is not acceptable because the Ocusert should be applied at bedtime nightly."
D) "This practice is not acceptable because the Ocusert should be changed every 7 days."

Question 6

As part of client teaching about miotics, the nurse describes the symptoms indicative of drug toxicity. The highest priority nursing intervention when systemic toxicity is suspected after the client has been treated with a miotic medication is to administer.

A) cascara.
B) calcium gluconate.
C) demecarium bromide.
D) atropine sulfate.

Question 7

Which nursing intervention would be the highest priority to prevent systemic absorption of eye drops?

A) Apply the drops in the outer canthus of the eye.
B) Have the patient perform the Valsalva maneuver during administration.
C) Have the patient close the eyes for 2 minutes after instillation.
D) Apply pressure to the lacrimal duct after administration.

Question 8

What would be an indication of a positive outcome for the client who is receiving treatment with a topical anesthetic for a disorder of the eye?

A) Absence of the blink reflex
B) Moist corneal epithelium
C) No need for a patch over the eye
D) Presence of corneal anesthesia for at least 4 hours

Question 9

A 9-month-old client enters the emergency department carried by his parent. The parent states, "He is fussy and won't eat. He feels hot and is pulling at his ears." Acute otitis media (OM) is diagnosed. What is the first-line drug for treatment of middle ear infection?

A) Acetyl sulfisoxazole (Gantrisin)
B) Amoxicillin (Amoxil, Augmentin)
C) Erythromycin (E-Mycin)
D) Cefaclor (Ceclor)

Question 10

A client who is 10 years old has an infection of the external ear and is being treated with polymyxin B and hydrocortisone. The nurse anticipates that the client will need an additional medication to relieve:

A) edema.
B) itching.
C) redness.
D) pain.

Question 11

The client is an African American who has been diagnosed with glaucoma. The nurse anticipates that which medication will be most effective for this client?

A) Latanoprost (Xalatan)
B) Bimatoprost (Lumigan)
C) Travoprost (Travatan)
D) Unoprostone (Rescula)