Chapter 49: Care of Patients with Eye and Vision Problems Test Bank
MULTIPLE CHOICE
1. A client is using an ophthalmic beta-blocking agent
... [Show More] for the treatment of glaucoma. Which instruction does the nurse give to the client to prevent orthostatic hypotension? a. ―Change positions quickly after administering the drops.‖
b. ―Take your pulse at least four times daily.‖
c. ―Apply pressure to the inside corner of your eye when administering the drops.‖
d. ―Lay down for 10 minutes after administering the drops.‖
ANS: C
Nasal punctal occlusion during eyedrop instillation keeps the drug in contact with the eye structures longer and decreases systemic absorption and side effects. Systemic distribution of the drug is what may cause orthostatic hypotension. The other answers will not help prevent orthostatic hypotension.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral
Therapies—Adverse Effects/Contraindications/Side Effects/Interactions)
MSC: Integrated Process: Nursing Process (Implementation)
2. Which is the most important information for the nurse to teach a client who is receiving cycloplegic drug therapy?
a. ―Do not drive or operate machinery until the drug wears off.‖
b. ―Use at least a 30 SPF sunscreen agent when going outdoors.‖
c. ―Remain on bedrest for 24 hours in a prone position.‖
d. ―Turn up the lights because acuity will be decreased in low-light environments.‖
ANS: A
Cycloplegic agents prevent accommodation of the iris, resulting in a widely dilated pupil. The pupil cannot accommodate to bright light, causing eye discomfort and pain. Turning up the lights will not assist the client to see more clearly. Bedrest and sunscreen are not measures needed for this drug.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Health Promotion and Maintenance (Self-Care)
MSC: Integrated Process: Teaching/Learning [Show Less]