Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 49

Question 1 Type: MCMA The client asks the nurse how glaucoma develops. What is the best response by the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. " aving diabetes is a risk !actor in the development o! glaucoma." 2. ""laucoma e#ists when the pressure in your eye is high enough to cause optic nerve damage." 3. " igh blood pressure can certainly lead to the development o! glaucoma." 4. " aving blue eyes is a risk !actor in the development o! glaucoma." . "$rugs like antihistamines and antidepressants can contribute to glaucoma." Corre!t Ans"er: %&'&(&) #ationa$e 1* aving diabetes mellitus is a risk !actor !or glaucoma. #ationa$e 2* "laucoma occurs when the pressure in the eye is high enough to cause optic nerve damage. #ationa$e 3* igh blood pressure can lead to the development o! glaucoma. #ationa$e 4* . +lue eyes are not a risk !actor !or the development o! glaucoma. #ationa$e * Medications like antihistamines and antidepressants can cause glaucoma. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* -mplementation )earnin' ,ut!ome: /01% Question 2 Type: MCMA

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Which statements would the nurse interpret as indicating that the client understands the diagnosis o! open1angle glaucoma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "My eye cannot drain the !luid that it produces." 2. "5ne o! the !irst signs o! this is pain behind my eyes." 3. "My type o! glaucoma is a medical emergency." 4. "This is a gradual process6 it may take years to develop." . "This is the most common kind o! glaucoma." Corre!t Ans"er: %&/&) #ationa$e 1* -n cases o! open1angle glaucoma& the cause !or the high pressure is an imbalance in the production and drainage o! !luid in the eye 7a8ueous humor9. #ationa$e 2* With open1angle glaucoma the person will have no warning sign& or hint that anything is wrong. #ationa$e 3* Closed1angle glaucoma& not open1angle glaucoma& is a medical emergency. #ationa$e 4* 5pen1angle glaucoma o!ten takes years to develop. #ationa$e * 5pen1angle glaucoma is the most common type o! glaucoma. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,hysiological Adaptation *ursin'/+nte'rated Con!epts: .ursing ,rocess* 3valuation )earnin' ,ut!ome: /01' Question 3 Type: MCSA The client is scheduled !or an eye e#am. ,rior to the e#am the physician will put a cycloplegic drug& atropine sul!ate 7-sopto Atropine9 eyedrops in the client:s eyes. What will the nurse teach the client about these eyedrops? 1. The drugs will dilate the pupil and lubricate the eye to provide additional com!ort during the e#amination. 2. The drops will paraly;e the muscles that move the eye so that e#amination can take place.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /23 Copyright '4%/ by ,earson 3ducation& -nc.

3. The drops will dilate the pupil so that the physician can better visuali;e the retina during e#amination. 4. The drops dilate the pupil and paraly;e the ciliary muscle to prevent the lens !rom moving during e#amination. Corre!t Ans"er: / #ationa$e 1* Cycloplegic eyedrops dilate the pupil and paraly;e the ciliary muscle6 they do not lubricate the eye. #ationa$e 2* The drops do not prevent eye movement. #ationa$e 3* This is only a partial e#planation o! the e!!ects o! these drops. #ationa$e 4* Cycloplegic eyedrops dilate the pupil and paraly;e the ciliary muscle. This allows visuali;ation during the e#am and also keeps the lens !rom moving. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* ,lanning )earnin' ,ut!ome: /01) Question 4 Type: MCSA The client tells the nurse that when he uses his timolol 7Timoptic9 eyedrops& they sting his eyes. What is the best response by the nurse? 1. " old the ne#t dose and contact your physician." 2. "This is a normal and e#pected e!!ect o! the drops." 3. "<our eyedrops may have e#pired6 check the date." 4. "<ou should wash your eyes immediately with saline." Corre!t Ans"er: ' #ationa$e 1* The physician does not need to be contacted6 stinging is a normal e!!ect o! the eyedrops. #ationa$e 2* -t is normal !or eyedrops to cause stinging when used. #ationa$e 3* The drops should cause stinging6 it means they have not e#pired. #ationa$e 4* Washing the eye with saline will dilute the eyedrops6 this is not recommended.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /23 Copyright '4%/ by ,earson 3ducation& -nc.

%$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* -mplementation )earnin' ,ut!ome: /01/ Question Type: MCSA The client tells the nurse that he e#periences !re8uent eye irritation even a!ter using over1the1counter 75TC9 medications. What is the best recommendation by the nurse? 1. -ncrease your !luid intake6 you are probably dehydrated. 2. See your eye doctor !or !urther evaluation. 3. This sounds like an allergic response6 try an antihistamine. 4. =se normal saline rinses instead o! over1the1counter 75TC9 preparations. Corre!t Ans"er: ' #ationa$e 1* The client should !ollow up with his physician6 not increase !luid intake. #ationa$e 2* The client should !ollow up with his physician i! over1the1counter 75TC9 remedies are ine!!ective !or eye irritation. #ationa$e 3* The client should !ollow up with his physician6 not try an antihistamine. #ationa$e 4* The client should !ollow up with his physician6 not use normal saline rinses. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* -mplementation )earnin' ,ut!ome: /01> Question Type: MCSA The client receives latanoprost 7?alatan9 and another eyedrop. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /23 Copyright '4%/ by ,earson 3ducation& -nc.

1. "- will give two drops o! one medication& wait one minute& and then give two drops o! the other medication." 2. @- should lay the dropper against my eyelid !or stability when putting in drops.@ 3. A- will remove my contact lens be!ore instilling these eyedrops.@ 4. @- may notice that my eyelashes get thinner while - am using this medication.@ Corre!t Ans"er: ( #ationa$e 1* 5ne minute is not su!!icient time to wait between administrations. #ationa$e 2* The client should avoid touching the eye or eyelid2lashes with any part o! the eyedropper to avoid cross1contamination. #ationa$e 3* The client should remove contact lenses be!ore instilling drops and should wait %) minutes be!ore reinserting them. #ationa$e 4* Bashes may grow thicker and darker. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* 3valuation )earnin' ,ut!ome: /01/ Question . Type: MCSA The client has e#cess cerumen in his ears. What will the best plan by the nurse include as to the sa!e removal o! the cerumen? 1. =se a sterile C1tip to remove cerumen. 2. -nstill 'D acetic acid in each ear. 3. Take hot showers to !acilitate drainage. 4. =se warm water and a bulb syringe. Corre!t Ans"er: / #ationa$e 1* A C1tip is dangerous as it can pack the cerumen into the ear canal. #ationa$e 2* Acetic acid is not the best method !or cerumen removal.
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#ationa$e 3* ot showers will not !acilitate drainage o! cerumen. #ationa$e 4* Warm water and a bulb syringe is the best method !or cerumen removal. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,hysiological Adaptation *ursin'/+nte'rated Con!epts: .ursing ,rocess* ,lanning )earnin' ,ut!ome: /01E Question / Type: MCSA The nurse has taught the client about open1angle glaucoma. The nurse evaluates learning has occurred when the client makes which statement? 1. "The eyedrops only need to be used when my eyes hurt." 2. "- will need to continually increase the dose o! my eyedrops." 3. "- can stop the eyedrops when the glaucoma has resolved." 4. "- must use my eyedrops as prescribed !or the rest o! my li!e." Corre!t Ans"er: / #ationa$e 1* 3yedrops must be used continuously6 most clients with glaucoma do not e#perience eye pain. #ationa$e 2* -ncreasing the dosage o! eyedrops is only necessary i! the ocular pressure is not controlled6 this must be determined by the physician& not the client. #ationa$e 3* "laucoma can be controlled& but it will not resolve* the client cannot stop using the eyedrops. #ationa$e 4* "laucoma can be controlled& but not cured6 the client must use eyedrops !or the rest o! his li!e. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* 3valuation )earnin' ,ut!ome: /01' Question 9 Type: MCSA
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The client has glaucoma. Which assessment !inding indicates to the nurse that a client:s medical regimen could have contributed to onset o! glaucoma? 1. Taking a beta blocker to treat hypertension 2. 5ccasional use o! antihistamines !or allergies 3. Taking glucocorticoids to treat arthritis 4. Fegular use o! an antidepressant drug Corre!t Ans"er: / #ationa$e 1* ypertension can be a !actor& but beta blockers may be used to treat glaucoma. #ationa$e 2* 5ccasional use o! antihistamines !or allergies should not be a !actor. #ationa$e 3* "lucocorticoids can contribute to the development o! cataracts& but not glaucoma. #ationa$e 4* Some antidepressant drugs are associated with development o! glaucoma. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* Assessment )earnin' ,ut!ome: /01' Question 10 Type: MCSA The client is to receive eyedrops !or glaucoma. What is the correct method o! administration? 1. ,lace the drop in the center o! the eye. 2. ,lace the drop so it !alls on the white part o! the eye. 3. ,lace the drop in the conGunctival sac below the eye. 4. Turn the head to the side so that the drop !lows to the outer corner. Corre!t Ans"er: ( #ationa$e 1* The eyedrop should be placed in the conGunctival sac below the eye& not in the center o! the eye. #ationa$e 2* The eyedrop should be placed in the conGunctival sac below the eye& not on the sclera.
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#ationa$e 3* The correct method !or administering eyedrops is to place the drop in the conGunctival sac below the eye. #ationa$e 4* The head should not be turned to the side when administering eyedrops. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* -mplementation )earnin' ,ut!ome: /01/ Question 11 Type: MCSA The client receives timolol 7Timoptic9 eyedrops !or glaucoma. The nurse has completed medication education and evaluates learning has occurred when the client makes which statement? 1. "- will discuss use o! over1the1counter 75TC9 medications with my physician." 2. "- will store my drops in the re!rigerator to keep them !resh." 3. "- will restrict my ca!!eine to one cup o! co!!ee per day." 4. "- will discontinue the drops i! my eye looks red." Corre!t Ans"er: % #ationa$e 1* Timolol 7Timoptic9 eyedrops may be absorbed systemically& so the client should discuss use o! and 5TC preparation with the physician prior to use. #ationa$e 2* Fe!rigeration is not necessary !or timolol 7Timoptic9 eyedrops. #ationa$e 3* There is no need to reduce ca!!eine when a client uses timolol 7Timoptic9 eyedrops. #ationa$e 4* Timolol 7Timoptic9 must be continued to prevent loss o! vision6 the client should not discontinue them. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* 3valuation )earnin' ,ut!ome: /01/
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /23 Copyright '4%/ by ,earson 3ducation& -nc.

Question 12 Type: MCSA The client wears contact lenses and has been prescribed eyedrops !or glaucoma. What will the best education by the nurse include with regard to contact lenses? 1. Femove lenses be!ore instilling eyedrops6 do not reinsert lenses !or %) minutes. 2. -nstill the drops with the contacts in as long as they are the hard kind o! contacts. 3. 3yeglasses must be worn !or as long as the client must have the eyedrops. 4. -nstill the drops with the contacts in as long as they are the so!t kind o! contacts. Corre!t Ans"er: % #ationa$e 1* The client should remove lenses be!ore instilling eyedrops and not reinsert them !or %) minutes. #ationa$e 2* $rops should not be instilled while the client is wearing contact lenses& regardless o! the kind o! lens. #ationa$e 3* 3yeglasses do not need to be worn !or as long as the client must have eyedrops.. #ationa$e 4* $rops should not be instilled while the client is wearing contact lenses& regardless o! the kind o! lens. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* ,lanning )earnin' ,ut!ome: /01> Question 13 Type: MCSA The client receives eyedrops as treatment !or glaucoma. The client calls the clinic one day and tells the nurse that his eye color is changing. What is the best response by the nurse? 1. "This is an e#pected side e!!ect o! the medication." 2. "This is unusual6 please come in !or an evaluation." 3. "Are you sure that your eyes have changed color?" 4. "What do you mean that your eyes have changed color?"
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /23 Copyright '4%/ by ,earson 3ducation& -nc.

Corre!t Ans"er: % #ationa$e 1* The iris may change color with the medication6 this is e#pected. #ationa$e 2* -t is not unusual !or the eyes to change color6 this is an e#pected reaction. #ationa$e 3* The client has said his eye color is changing6 it is condescending to ask him i! he is sure. #ationa$e 4* Asking the client what he means by saying his eyes have changed color does not make sense6 he means his eyes have changed color. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* -mplementation )earnin' ,ut!ome: /01/ Question 14 Type: MCSA The nurse is counseling a client with glaucoma. The nurse e#plains that& i! le!t untreated& the condition can lead to 1. myopia. 2. nearsightedness. 3. diabetes mellitus. 4. blindness. Corre!t Ans"er: / #ationa$e 1* Myopia is the same as nearsightedness& which is a risk !actor !or glaucoma. #ationa$e 2* .earsightedness is a risk !actor !or glaucoma. #ationa$e 3* $iabetes mellitus is a risk !actor leading to glaucoma. #ationa$e 4* "laucoma can lead to optic nerve damage and blindness. %$o&a$ #ationa$e: Co'niti(e )e(e$: =nderstanding C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,hysiological Adaptation
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*ursin'/+nte'rated Con!epts: .ursing ,rocess* -mplementation )earnin' ,ut!ome: /01' Question 1 Type: MCSA Which o! the !ollowing best describes open1angle glaucoma? 1. -t is bilateral with a slow onset. 2. -t is less common than closed1angle glaucoma. 3. -t is accompanied by eye pain. 4. -t is unilateral with a rapid onset. Corre!t Ans"er: % #ationa$e 1* 5pen1angle glaucoma is bilateral& and has a slow onset over several years. #ationa$e 2* 5pen1angle glaucoma is more common. #ationa$e 3* 5pen1angle glaucoma& in contrast to closed1angle glaucoma& has no symptoms. #ationa$e 4* Closed1angle glaucoma is unilateral with rapid onset. %$o&a$ #ationa$e: Co'niti(e )e(e$: Femembering C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,hysiological Adaptation *ursin'/+nte'rated Con!epts: .ursing ,rocess* Assessment )earnin' ,ut!ome: /01' Question 1Type: MCSA Which o! the !ollowing is an adverse e!!ect o! prostaglandins& such as latanoprost 7?altan9? 1. ypotension 2. .ausea 3. Tachycardia 4. 3ye pain
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Corre!t Ans"er: / #ationa$e 1* ypotension is an adverse e!!ect o! beta1adrenergic blockers. #ationa$e 2* .ausea is not an adverse e!!ect. #ationa$e 3* Tachycardia is an adverse e!!ect o! carbonic anhydrase inhibitors. #ationa$e 4* 3ye pain& burning& and dry eyes are adverse e!!ects o! prostaglandins. %$o&a$ #ationa$e: Co'niti(e )e(e$: =nderstanding C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* Assessment )earnin' ,ut!ome: /01/ Question 1. Type: MCSA The primary mechanism o! action o! beta1adrenergic blockers in the treatment o! open1angle glaucoma is to 1. increase the out!low o! a8ueous humor. 2. constrict the pupil. 3. dilate the pupil to increase out!low. 4. reduce production o! a8ueous humor. Corre!t Ans"er: / #ationa$e 1* ,rostaglandins increase the out!low o! a8ueous humor. #ationa$e 2* Cholinergic agonists constrict the pupil to allow !or more room !or out!low. #ationa$e 3* Carbonic anhydrase inhibitors dilate the pupil to increase out!low. #ationa$e 4* +eta1adrenergic blockers decrease the production o! a8ueous humor. %$o&a$ #ationa$e: Co'niti(e )e(e$: Femembering C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* ,lanning
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)earnin' ,ut!ome: /01( Question 1/ Type: MCSA The client is preparing !or an eye e#amination. Which o! the !ollowing classi!ication o! drugs will be used? 1. Mydriatics 2. Hasoconstrictors 3. ,rostaglandins 4. +eta1adrenergic blockers Corre!t Ans"er: % #ationa$e 1* Mydriatics dilate the pupil !or better visuali;ation. #ationa$e 2* Hasoconstrictors are used !or irritation and dryness o! the eye. #ationa$e 3* ,rostaglandins are used !or open1angle glaucoma. #ationa$e 4* +eta1adrenergic blockers are used !or glaucoma. %$o&a$ #ationa$e: Co'niti(e )e(e$: =nderstanding C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* ,lanning )earnin' ,ut!ome: /01) Question 19 Type: MCSA The drug most likely to be used to so!ten or eliminate cerumen is 1. a steroid. 2. a wa# so!tener. 3. an anti!ungal agent. 4. a local analgesic. Corre!t Ans"er: '
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#ationa$e 1* Steroids would not be used !or cerumen& but !or in!lammation. #ationa$e 2* Wa# so!teners are used to so!ten or eliminate cerumen. #ationa$e 3* An anti!ungal would not be used !or cerumen. #ationa$e 4* Bocal analgesics would be used !or otitis e#ternal. %$o&a$ #ationa$e: Co'niti(e )e(e$: Femembering C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* ,lanning )earnin' ,ut!ome: /01E Question 20 Type: MCSA The primary treatment !or mastoiditis is 1. topical antibiotics. 2. topical steroids. 3. systemic antibiotics. 4. Systemic steroids. Corre!t Ans"er: ( #ationa$e 1* Topical antibiotics are usually used !or e#ternal ear in!ections. #ationa$e 2* Topical steroids are usually used !or e#ternal ear in!ections. #ationa$e 3* Systemic antibiotics are used to treat mastoiditis. #ationa$e 4* Systemic steroids are not likely to be used in the treatment o! mastoiditis since it is !re8uently very di!!icult to treat. %$o&a$ #ationa$e: Co'niti(e )e(e$: Femembering C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* ,lanning )earnin' ,ut!ome: /01E
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Question 21 Type: MCMA A client has had several measurements o! intraocular pressure. Which measurements would the nurse interpret as indicating need !or pharmacologic intervention? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. A single reading o! %/ mm g 2. A consistent reading trending between %) and %E mm g. 3. A single reading o! %0 mm g. 4. Feadings consistently higher than '% mm g. . A single reading o! (' mm g. Corre!t Ans"er: /&) #ationa$e 1* This reading is Gust lower than normal and does not indicate need !or intervention. #ationa$e 2* The normal range o! -5, is between %) and %)E mm g. #ationa$e 3* 3ven though this reading is above normal& it is not unusual !or a single reading to be this high. The client should be observed. #ationa$e 4* Some persons may tolerate -5, at this level& but in most cases& pharmacologic intervention is indicated. #ationa$e * A single reading above (4 mm g should be treated to prevent optic nerve damage. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* ,lanning )earnin' ,ut!ome: /0.' Question 22 Type: MCMA

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A client presents to the emergency department with symptoms o! closed1angle glaucoma. -ntraocular pressure is measured at (4 mm g. Which assessment !indings would the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Absence o! eye pain 2. eadache 3. +loodshot eyes 4. Homiting . +ruising around the orbit Corre!t Ans"er: '&(&/ #ationa$e 1* $ull to sharp eye pain is more typical o! this condition. #ationa$e 2* eadaches are common with acute intraocular pressure increase. #ationa$e 3* +loodshot eyes are a typical assessment !inding with -5,. #ationa$e 4* 5cular pain may be so severe that it causes vomiting. #ationa$e * +ruising is not a common !inding associated with -5,. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,hysiological Adaptation *ursin'/+nte'rated Con!epts: .ursing ,rocess* Assessment )earnin' ,ut!ome: /0.' Question 23 Type: MCMA A client is prescribed a beta1adrenergic blocker !or treatment o! glaucoma. The nurse provides speci!ic in!ormation on administration techni8ue to avoid which adverse e!!ects? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
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1. +ronchoconstriction 2. Cardiac dysrhythmias 3. Bow blood pressure 4. Fash . Homiting Corre!t Ans"er: %&'&( #ationa$e 1* The beta1adrenergic e!!ects may cause bronchoconstriction i! the medication is absorbed systemically. #ationa$e 2* Systemic absorption may result in cardiac dysrhythmia. #ationa$e 3* ypotension may result i! beta1adrenergic eyedrops are systemically absorbed. #ationa$e 4* Fash is not an e!!ect o! systemic absorption o! beta1adrenergic eyedrops. #ationa$e * Homiting is not an e!!ect o! systemic absorption o! beta1adrenergic eyedrops. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* Assessment )earnin' ,ut!ome: /0.( Question 24 Type: MCMA A client has been diagnosed with closed1angle glaucoma. Which !indings would the nurse interpret as indicating that the pharmacologic treatment regimen has been success!ul? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The client reports being hungry. 2. The clientIs last two intraocular pressure readings have been %0 mm g and %J mm g. 3. The clientIs eye is not as bloodshot.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /23 Copyright '4%/ by ,earson 3ducation& -nc.

4. The client reports a sensation o! drainage down the nose. . The clientIs cough has diminished. Corre!t Ans"er: '&( #ationa$e 1* Anore#ia is not associated with closed1angle glaucoma. #ationa$e 2* These -5, readings are trending toward normal. #ationa$e 3* Fesolution o! increased -5, will reduce the appearance o! being bloodshot. #ationa$e 4* The client is not likely to !eel this sensation. #ationa$e * Cough is not a !inding associated with glaucoma. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,hysiological Adaptation *ursin'/+nte'rated Con!epts: .ursing ,rocess* 3valuation )earnin' ,ut!ome: /0.> Question 2 Type: MCMA A client has been prescribed brin;olamide 7A;opt9. Which !indings would the nurse discuss with the prescriber be!ore administering this drug? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The clientIs last potassium level was low. 2. The client is a vegetarian. 3. The client is allergic to sul!a. 4. The client has a history o! atopic dermatitis. . The clientIs !ather had a myocardial in!arction at age (). Corre!t Ans"er: %&( #ationa$e 1* This preparation causes diuresis and may !urther diminish potassium level.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /23 Copyright '4%/ by ,earson 3ducation& -nc.

#ationa$e 2* Hegetarianism has no bearing on taking this medication. #ationa$e 3* This drug contains sul!a. #ationa$e 4* Atopic dermatitis is not a contraindication !or use o! this drug. #ationa$e * There is no contraindication to use o! this drug in a client with a !amily history o! M-. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy;ing C$ient *eed: ,hysiological -ntegrity C$ient *eed Su&: ,harmacological and ,arenteral Therapies *ursin'/+nte'rated Con!epts: .ursing ,rocess* -mplementation )earnin' ,ut!ome: /0.>

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /23 Copyright '4%/ by ,earson 3ducation& -nc.