Pharmacology - Eye & Ear Medications

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nursedaisy98
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256753
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Pharmacology - Eye & Ear Medications
Updated:
2014-04-19 23:40:02
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NCLEX RN
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Pharmacology
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Eye & Ear Medications
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  1. Betaxolol hydrochloride eyedrops have been prescribed for a client with glaucoma. Which nursing action is most appropriate related to monitoring for side/adverse effects of this medication?
    1. Monitoring temperature
    2. Monitoring blood pressure
    3. Assessing peripheral pulses
    4. Assessing blood glucose level
    2. Monitoring blood pressure
  2. The nurse is preparing to administer eyedrops. Which interventions should the nurse take to administer the drops? Select all that apply.
    1. Wash hands.
    2. Put gloves on.
    3. Place the drop in the conjunctival sac.
    4. Pull the lower lid down against the cheek bone.
    5. Instruct the client to squeeze the eyes shut after instilling the eyedrop.
    6. Instruct the client to tilt the head forward, open the eyes, and look down.
    • 1. Wash hands.
    • 2. Put gloves on.
    • 3. Place the drop in the conjunctival sac.
    • 4. Pull the lower lid down against the cheek bone.
  3. The nurse prepares a client for an ear irrigation as prescribed by the health care provider. Which action should the nurse take when performing the procedure?
    1. Warm the irrigating solution to 98.6° F.
    2. Position the client with the affected side up following the irrigation.
    3. Direct a slow steady stream of irrigation solution toward the eardrum.
    4. Assist the client to turn his or her head so that the ear to be irrigated is facing upward.
    1. Warm the irrigating solution to 98.6° F.
  4. The nurse is providing instructions to a client who will be self-administering eyedrops. To minimize systemic absorption of the eyedrops, the nurse should instruct the client to take which action?
    1. Eat before instilling the drops.
    2. Swallow several times after instilling the drops.
    3. Blink vigorously to encourage tearing after instilling the drops.
    4. Occlude the nasolacrimal duct with a finger after instilling the drops.
    4. Occlude the nasolacrimal duct with a finger after instilling the drops.
  5. A client is prescribed an eyedrop and an eye ointment for the right eye. How should the nurse best administer the medications?
    1. Administer the eyedrop first, followed by the eye ointment.
    2. Administer the eye ointment first, followed by the eyedrop.
    3. Administer the eyedrop, wait 15 minutes, and administer the eye ointment.
    4. Administer the eye ointment, wait 15 minutes, and administer the eyedrop.
    1. Administer the eyedrop first, followed by the eye ointment.
  6. Which medication, if prescribed for the client with glaucoma, should the nurse question?
    1. Betaxolol (Betoptic)
    2. Atropine sulfate (Isopto Atropine)
    3. Pilocarpine hydrochloride (Isopto Carpine)
    4. Pilocarpine (Ocusert Pilo-20, Ocusert Pilo-40)
    2. Atropine sulfate (Isopto Atropine)
  7. A miotic medication has been prescribed for the client with glaucoma and the client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client?
    1. "The medication will help dilate the eye to prevent pressure from occurring."
    2. "The medication will relax the muscles of the eyes and prevent blurred vision."
    3. "The medication causes the pupil to constrict and will lower the pressure in the eye."
    4. "The medication will help block the responses that are sent to the muscles in the eye."
    3. "The medication causes the pupil to constrict and will lower the pressure in the eye."
  8. A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone." Which medication would the nurse identify as the cause of the client's complaint?
    1. Doxycycline (Vibramycin)
    2. Acetylsalicylic acid (aspirin)
    3. Atropine sulfate (Isopto Atropine)
    4. Diltiazem hydrochloride (Cardizem)
    2. Acetylsalicylic acid (aspirin)
  9. In preparation for cataract surgery, the nurse is to administer cyclopentolate (Cyclogyl) eyedrops. The nurse understands that which characterizes the medication action?
    1. Produces miosis of the operative eye
    2. Dilates the pupil of the operative eye
    3. Constricts the pupil of the operative eye
    4. Provides lubrication to the operative eye
    2. Dilates the pupil of the operative eye
  10. The nurse is reviewing the instillation technique for both eye ointment and eye drops with the parent of a pediatric client diagnosed with bacterial conjunctivitis. Which statement, if made by the parent, would indicate that learning has taken place?
    1. "I will be careful not to touch the eye or eyelid during administration."
    2. "I will place my child on the left side to administer drops in the right eye."
    3. "I will administer the eye ointment and then wait 5 minutes and administer the eye drops."
    4. "I will have my child blink after the instillation to encourage thorough distribution of the eye drops."
    1. "I will be careful not to touch the eye or eyelid during administration."
  11. A client with glaucoma is given a prescription for a pilocarpine ocular system. The nurse plans to provide which instruction to the client on how to use the medication?
    1. Apply ½ inch into the eye at bedtime.
    2. Apply 1 drop of the solution four times a day.
    3. Remove and replace the ocular system every 48 hours.
    4. Check the eye each morning to make sure that the system is in place.
    4. Check the eye each morning to make sure that the system is in place.
  12. The nurse is performing an admission assessment on a client who has a history of glaucoma and uses latanoprost (Xalatan) eye drops. Which assessment finding would indicate a side effect of these eye drops?
    1. Irregular pulse
    2. Periorbital edema
    3. Elevated blood pressure
    4. Brown pigmentation of the iris
    4. Brown pigmentation of the iris
  13. The nurse is teaching a mother to instill drops in her infant's ear. The nurse explains that to give the eardrops correctly, the mother needs to take which action?
    1. Pull up and back on the earlobe and direct the solution toward the eardrum.
    2. Pull down and back on the auricle and direct the solution toward the eardrum.
    3. Pull up and back on the auricle and direct the solution toward the wall of the canal.
    4. Pull down and back on the earlobe and direct the solution toward the wall of the canal.
    4. Pull down and back on the earlobe and direct the solution toward the wall of the canal.
  14. The home care nurse is reviewing the record of a client newly diagnosed with glaucoma who is scheduled for a home visit. The nurse notes that the health care provider (HCP) has prescribed atropine sulfate and pilocarpine hydrochloride (Isopto Carpine) eye drops. The nurse should contact the HCP before the home visit for which reason?
    1. Clarify the prescription for the atropine sulfate.
    2. Clarify the prescription for the pilocarpine hydrochloride.
    3. Determine the date of the scheduled follow-up HCP visit.
    4. Determine the extent of the intraocular pressure caused by the glaucoma.
    1. Clarify the prescription for the atropine sulfate.
  15. The nursing student is assigned to care for a client with glaucoma for whom pilocarpine hydrochloride (Isopto Carpine) eye drops have been prescribed. The nursing instructor asks the student to describe the action of the eye medication. Which statement by the student indicates an understanding of the purpose of this medication?
    1. "The medication prevents blurred vision by relaxing the muscles of the eyes."
    2. "The medication dilates the eye to prevent increased pressure from occurring."
    3. "The medication increases the blood flow to the retina and also will lower the pressure in the eye."
    4. "The medication blocks responses that are sent to the brain that direct the actions of the muscles in the eye."
    3. "The medication increases the blood flow to the retina and also will lower the pressure in the eye."
  16. Pilocarpine hydrochloride (Isopto Carpine) is prescribed for a client with glaucoma. The nurse checks the medication supply room to ensure that atropine sulfate is available for administration in the event that systemic toxicity occurs from the use of pilocarpine hydrochloride. The nurse also monitors for which sign of systemic toxicity?
    1. Anorexia
    2. Bradycardia
    3. Tachycardia
    4. Hypertension
    2. Bradycardia
  17. Betaxolol eye drops have been prescribed for a client with glaucoma. The home health nurse preparing to visit the client develops a plan of care that includes monitoring for the adverse effects of this medication by taking which assessment action?
    1. Monitoring body weight
    2. Assessing the glucose level
    3. Assessing peripheral pulses
    4. Monitoring body temperature
    1. Monitoring body weight
  18. A client who is scheduled for cataract surgery requires preoperative instillation of cyclopentolate (Cyclogyl) eye drops as prescribed. The client asks the nurse why this medication is needed. What should the nurse explain about cyclopentolate?
    1. Dilates the pupil of the operative eye
    2. Constricts the pupil of the operative eye
    3. Is needed for the initiation of miosis in the operative eye
    4. Provides the necessary lubrication to the nonoperative eye
    1. Dilates the pupil of the operative eye
  19. The nurse working in a long-term care facility notes that several clients are taking pilocarpine hydrochloride (Isopto Carpine) eye drops. The nurse ensures that which medication is available on the nursing unit for use if a client should develop systemic toxicity from pilocarpine hydrochloride?
    1. Atropine sulfate
    2. Disulfiram (Antabuse)
    3. Naloxone hydrochloride
    4. Cyclopentolate (Cyclogyl)
    1. Atropine sulfate
  20. A client has been prescribed betaxolol eye drops for the treatment of glaucoma. The ambulatory care nurse determines that the client understands proper medication use if the client states the need to return to the office for monitoring of what item(s)?
    1. Hearing acuity
    2. Blood glucose level
    3. Presence of calf pain
    4. Blood pressure and apical pulse
    4. Blood pressure and apical pulse
  21. The health care provider prescribes the instillation of mydriatic eye drops to both eyes of a client. The nurse administers the eye drops and monitors the client for an effective response from the medication, as indicated by which response?

    1. A
    2. B
    3. C
    4. D
    4. D
  22. A client with glaucoma is receiving acetazolamide (Diamox). The nurse understands that which is the purpose of this medication for this client?
    1. To prevent hypertension
    2. To prevent hyperthermia
    3. To decrease intraocular pressure
    4. To maintain an adequate blood pressure for cerebral perfusion
    3. To decrease intraocular pressure
  23. In preparation for cataract surgery, the nurse is to administer prescribed eye drops. The nurse reviews the health care provider's prescriptions, expecting which type of eye drops to be prescribed?
    1. A miotic agent
    2. A thiazide diuretic
    3. An osmotic diuretic
    4. A mydriatic medication
    4. A mydriatic medication
  24. Ear drops are prescribed for an infant with otitis media. Which is the most appropriate method to administer ear drops to an infant?
    1. Pull up and back on the pinna and direct the solution onto the eardrum.
    2. Pull down and back on the pinna and direct the solution onto the eardrum.
    3. Pull down and back on the pinna and direct the solution toward the wall of the canal.
    4. Pull up and back on the ear lobe and direct the solution toward the wall of the canal.
    3. Pull down and back on the pinna and direct the solution toward the wall of the canal.
  25. The preoperative medication sheet identifies that cyclopentolate (Cyclogyl) is prescribed for a client before cataract surgery. Which is the action of the medication?
    1. It lubricates the eye.
    2. Constriction of the pupil occurs.
    3. Paralysis of the ciliary muscle occurs.
    4. This medication will promote miosis.
    3. Paralysis of the ciliary muscle occurs.
  26. A client being discharged to home with a prescription for eye drops to be given in the left eye has received instructions regarding self-administration of the drops. The nurse determines that the client needs further instruction if, on return demonstration, the client takes which action?
    1. Lies supine, pulls up on the upper lid, and puts the drop in the upper lid
    2. Lies supine, pulls down on the lower lid, and puts the drop in the lower lid
    3. Tilts the head back, pulls down on the lower lid, and puts the drop in the lower lid
    4. Lies with head to the right, puts the drop in the inner canthus, and slowly turns to the left while blinking
    1. Lies supine, pulls up on the upper lid, and puts the drop in the upper lid
  27. A nurse teaching a mother how to administer ear drops to an infant tells the mother to pull the child's ear in which direction?
    1. Up and back and direct the solution onto the eardrum
    2. Down and forward and direct the solution onto the eardrum
    3. Up and forward and direct the solution toward the wall of the canal
    4. Down and back and direct the solution toward the wall of the canal
    4. Down and back and direct the solution toward the wall of the canal
  28. A nurse would question the health care provider (HCP) if which medication was prescribed for a client with glaucoma?
    1. Pilocarpine HCl
    2. Pilocarpine nitrate
    3. Atropine sulfate (Isopto Atropine)
    4. Carteolol hydrochloride (Ocupress)
    3. Atropine sulfate (Isopto Atropine)
  29. When teaching a client with glaucoma about the effects of a miotic medication, the nurse should tell the client that the medication will produce which effect?
    1. Reshape the lens to eliminate blurred vision.
    2. Dilate the pupil to reduce intraocular pressure.
    3. Interrupt the drainage of aqueous humor from the eye.
    4. Lower intraocular pressure and improve blood flow to the retina.
    4. Lower intraocular pressure and improve blood flow to the retina.
  30. Betaxolol (Betoptic) eye drops have been prescribed for a client with glaucoma. The nurse monitoring this client for side/adverse effects of the medication would place highest priority on which assessment?
    1. Pulse rate
    2. Blood glucose
    3. Respiratory rate
    4. Oxygen saturation
    1. Pulse rate
  31. A client with chronic glaucoma is being started on medication therapy with acetazolamide (Diamox). The nurse teaches the client that which can occur early with the use of this medication?
    1. Fatigue
    2. Diuresis
    3. Headache
    4. Loss of libido
    2. Diuresis

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