Question 1

A 5-month-old infant has been unusually irritable and has been pulling on the ears.The nurse expects that medications for this client will probably include infant acetaminophen and antibiotics for the treatment of:

Accepted Answer

The symptoms described (irritability and pulling on the ears) suggest that the infant may have an ear infection, most likely otitis media (infection of the middle ear). Antibiotics are commonly prescribed to treat this type of infection. Acetaminophen can also be given to relieve pain and reduce fever. Otitis interna and mastoiditis are more serious infections that require prompt medical attention and may require more aggressive treatment. External otitis, also known as swimmer's ear, is an infection of the outer ear canal and is usually treated with ear drops. However, given the symptoms described, external otitis is unlikely to be the cause of the infant's discomfort.

Question 2

A client with open-angle glaucoma is prescribed an alpha₂-adrenergic agonist.What will the nurse instruct the client about this medication? Select all that apply.

Accepted Answer

Alpha-adrenergic agonists used in the treatment of open-angle glaucoma can cause side effects such as a foreign body sensation in the eye (A), headaches and drowsiness (B), blurred vision (C), and occasionally nervousness or anxiety (D). Acute eye pain (E) is not an expected side effect and should be reported to a healthcare provider immediately as it could indicate a serious problem.

Question 3

After completing a physical assessment,the nurse is concerned that a client is at risk for developing glaucoma because of which findings?
Select all that apply.

Accepted Answer

The answer of After completing a physical assessment,the nurse is...

Question 4

During a medication history,a client reports taking acetazolamide (Diamox)for glaucoma.The nurse should assess this client for:
Select all that apply.

Accepted Answer

The answer of During a medication history,a client reports taking...

Question 5

A client is prescribed medication for otitis media.What should the nurse instruct the spouse about the administration of this medication?
Select all that apply.

Accepted Answer

- The client should be lying down with the affected ear dominant to allow the medication to flow into the ear canal.- Pull the ear pinna down and back before administering the medication to straighten the ear canal.- Instill the prescribed number of drops so that they slide down the ear canal.- The client should not change position for 5 to 10 minutes after the medication is instilled to allow the medication to reach the middle ear.

Question 6

The nurse is caring for an older client who has difficulty hearing because of suspected wax accumulation.What measures will the nurse take to help this client?
Select all that apply.

Accepted Answer

A cerumenolytic can help soften the wax before irrigation, warming the solution to body temperature can prevent dizziness or discomfort, and pulling the pinna up and back (for adults) helps straighten the ear canal for easier access. Using a cotton-tipped applicator in the ear canal can push wax further in and cause injury, and a large-bore syringe may apply too much pressure, risking damage to the ear canal or eardrum.

Question 7

A client reports symptoms of continuing ear pain,difficulty hearing,and tenderness following treatment for otitis media.The area behind the ear is red and swollen.What problem might be indicated by these symptoms?

Accepted Answer

The symptoms of continuing ear pain, difficulty hearing, tenderness, redness, and swelling behind the ear are indicative of mastoiditis. Mastoiditis is a complication of untreated or inadequately treated acute otitis media, which can spread to the mastoid bone situated behind the ear. The mastoid bone is responsible for draining fluid from the middle ear. Mastoiditis can cause a range of symptoms, including pain, swelling, fever, drainage from the ear, and hearing loss.

Question 8

The nurse instructs a client who has been prescribed cyclopentolate (Cyclogyl)about appropriate safety measures.Additional teaching is required if the client states:

Accepted Answer

Cyclopentolate (Cyclogyl) is an anticholinergic medication used to dilate the pupil and paralyze accommodation in the eye. It does not cause photosensitivity, which would necessitate the use of sunscreen or protective clothing. The other options (A, B, C) correctly describe common side effects or precautions related to cyclopentolate use, such as dry mouth, impaired ability to drive or operate machinery due to vision changes, and light sensitivity requiring the use of dark glasses.

Question 9

A client is being treated for acute closed-angle glaucoma.Immediate treatment to reduce the client's intraocular pressure would include:

Accepted Answer

The immediate treatment for acute closed-angle glaucoma is to decrease the intraocular pressure. Mannitol, administered intravenously, is a medication that can rapidly reduce intraocular pressure by drawing fluid out of the eye and into the bloodstream. Morphine sulfate and antihistamines are not used to treat glaucoma, and tricyclic antidepressants are not appropriate for acute treatment of elevated intraocular pressure.

Question 10

A client is using an ophthalmic beta blocking agent for the treatment of glaucoma.Orthostatic hypotension and bradycardia are possible side effects of this medication.What instruction should the nurse provide to reduce the risk of these problems?

Accepted Answer

Applying pressure to the nasolacrimal duct (inside corner of the eye) after administering the drops can help reduce systemic absorption of the medication, thereby minimizing side effects like orthostatic hypotension and bradycardia.

Question 11

The nurse is planning care for a client with closed-angle glaucoma.What will be included in this plan of care?
Select all that apply.

Accepted Answer

Closed-angle glaucoma can cause severe eye pain, nausea, and vomiting, hence the need for pain medication and antiemetics. It can also affect vision suddenly and severely, necessitating assistance with ambulation to prevent falls. Emergency ocular surgery may be required to relieve intraocular pressure and prevent vision loss.

Question 12

The nurse is concerned that a client taking bepotastine (Bepreve)for allergic conjunctivitis is experiencing adverse effects of the medication after assessing:
Select all that apply.

Accepted Answer

The answer of The nurse is concerned that a client...

Question 13

A client with glaucoma is being treated with a pilocarpine (Isopto Carpine).To help reduce the risk associated with this medicine,the nurse suggests:

Accepted Answer

Pilocarpine can cause difficulty seeing in low light conditions, so ensuring that hallways are well lit at night can help reduce the risk of falls or accidents.

Question 14

A client being prepared for eye surgery is instructed that medication will be provided to anesthetize the eye.The nurse will prepare to administer which medication?
Select all that apply.

Accepted Answer

Lidocaine and proparacaine are both topical anesthetics that are used to anesthetize the eye before surgery.

Question 15

In preparation for eye surgery,the nurse is teaching a client about the anatomy of the eye and explains that the purpose of the posterior chamber of the eye is to:
Select all that apply.

Accepted Answer

The answer of In preparation for eye surgery,the nurse is...

Quiz 74: Pharmacotherapy of Eye and Ear Disorders

A 5-month-old infant has been unusually irritable and has been pulling on the ears.The nurse expects that medications for this client will probably include infant acetaminophen and antibiotics for the treatment of:

A client with open-angle glaucoma is prescribed an alpha₂-adrenergic agonist.What will the nurse instruct the client about this medication? Select all that apply.

After completing a physical assessment,the nurse is concerned that a client is at risk for developing glaucoma because of which findings? Select all that apply.

During a medication history,a client reports taking acetazolamide (Diamox) for glaucoma.The nurse should assess this client for: Select all that apply.

A client is prescribed medication for otitis media.What should the nurse instruct the spouse about the administration of this medication? Select all that apply.

The nurse is caring for an older client who has difficulty hearing because of suspected wax accumulation.What measures will the nurse take to help this client? Select all that apply.

A client reports symptoms of continuing ear pain,difficulty hearing,and tenderness following treatment for otitis media.The area behind the ear is red and swollen.What problem might be indicated by these symptoms?

The nurse instructs a client who has been prescribed cyclopentolate (Cyclogyl) about appropriate safety measures.Additional teaching is required if the client states:

A client is being treated for acute closed-angle glaucoma.Immediate treatment to reduce the client's intraocular pressure would include:

A client is using an ophthalmic beta blocking agent for the treatment of glaucoma.Orthostatic hypotension and bradycardia are possible side effects of this medication.What instruction should the nurse provide to reduce the risk of these problems?

The nurse is planning care for a client with closed-angle glaucoma.What will be included in this plan of care? Select all that apply.

The nurse is concerned that a client taking bepotastine (Bepreve) for allergic conjunctivitis is experiencing adverse effects of the medication after assessing: Select all that apply.

A client with glaucoma is being treated with a pilocarpine (Isopto Carpine) .To help reduce the risk associated with this medicine,the nurse suggests:

A client being prepared for eye surgery is instructed that medication will be provided to anesthetize the eye.The nurse will prepare to administer which medication? Select all that apply.

In preparation for eye surgery,the nurse is teaching a client about the anatomy of the eye and explains that the purpose of the posterior chamber of the eye is to: Select all that apply.

Quiz 74: Pharmacotherapy of Eye and Ear Disorders

A 5-month-old infant has been unusually irritable and has been pulling on the ears.The nurse expects that medications for this client will probably include infant acetaminophen and antibiotics for the treatment of:

A client with open-angle glaucoma is prescribed an alpha2-adrenergic agonist.What will the nurse instruct the client about this medication? Select all that apply.

After completing a physical assessment,the nurse is concerned that a client is at risk for developing glaucoma because of which findings? Select all that apply.

During a medication history,a client reports taking acetazolamide (Diamox) for glaucoma.The nurse should assess this client for: Select all that apply.

A client is prescribed medication for otitis media.What should the nurse instruct the spouse about the administration of this medication? Select all that apply.

The nurse is caring for an older client who has difficulty hearing because of suspected wax accumulation.What measures will the nurse take to help this client? Select all that apply.

A client reports symptoms of continuing ear pain,difficulty hearing,and tenderness following treatment for otitis media.The area behind the ear is red and swollen.What problem might be indicated by these symptoms?

The nurse instructs a client who has been prescribed cyclopentolate (Cyclogyl) about appropriate safety measures.Additional teaching is required if the client states:

A client is being treated for acute closed-angle glaucoma.Immediate treatment to reduce the client's intraocular pressure would include:

A client is using an ophthalmic beta blocking agent for the treatment of glaucoma.Orthostatic hypotension and bradycardia are possible side effects of this medication.What instruction should the nurse provide to reduce the risk of these problems?

The nurse is planning care for a client with closed-angle glaucoma.What will be included in this plan of care? Select all that apply.

The nurse is concerned that a client taking bepotastine (Bepreve) for allergic conjunctivitis is experiencing adverse effects of the medication after assessing: Select all that apply.

A client with glaucoma is being treated with a pilocarpine (Isopto Carpine) .To help reduce the risk associated with this medicine,the nurse suggests:

A client being prepared for eye surgery is instructed that medication will be provided to anesthetize the eye.The nurse will prepare to administer which medication? Select all that apply.

In preparation for eye surgery,the nurse is teaching a client about the anatomy of the eye and explains that the purpose of the posterior chamber of the eye is to: Select all that apply.

A client with open-angle glaucoma is prescribed an alpha₂-adrenergic agonist.What will the nurse instruct the client about this medication? Select all that apply.