NCLEX Review About The Aging Eye 46-50

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46. Pilocarpine hydrochloride (Isopto Carpine) is prescribed for the client with glaucoma. Which of the following medications does the nurse plan to have available in case of systemic toxicity?

a) atropine sulfate
b) pindolol (Visken)
c) protamine sulfate
d) naloxone hydrochloride (Narcan)

47. Betaxolol hydrochloride (Betoptic) eye drops have been prescribed for the client with glaucoma. Which of the following nursing actions is most appropriate related to monitoring for the side effects of this medication?

a) monitoring temperature
b) monitoring blood pressure
c) assessing peripheral pulses
d) assessing blood glucose level



48. In preparation for cataract surgery, the nurse to administer cyclopentolate (Cyclogyl) eye drops. The nurse a is to administer the eye drops, knowing that the purpose of this medication is to:

a) produce miosis of the operative eye
b) dilate the pupil of the operative eye
c) provide lubrication to the operative eye
d) constrict the pupil of the operative eye

49. The home health nurse visits a client at home and instructs the client on the administration of the prescribed eye drops. Which of the following statements by the client indicates a need for further education?

a) I can lie down, pull up the upper lid, and place the drop in the lower lid
b) I can lie down, pull down on the lower lid, and place the drop in the lower lid
c) I can sit and tilt my head back, pull down on the lower lid, and place the drop in the lower lid
d) I can lie on my side opposite to the eye I am going to place the drop, put the drop in the corner of the lid nearest my nose, and then slowly turn to my other side while blinking

50. The nurse is providing instructions to a client who will be self-administering eye drops. To minimize the systemic effects that eye drops can produce, the nurse instructs the client to:

a) eat before instilling the drops
b) swallow several times after instilling the drops
c) blink vigorously to encourage tearing after instilling the drops
d) occlude the nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds after instilling the drops




NCLEX REVIEW ABOUT THE AGING EYE:
ANSWERS AND RATIONALE

46) A

- Systemic absorption of pilocarpine hydrochloride can produce toxicity and includes manifestations of vertigo, bradycardia, tremors, hypotension, syncope, cardiac dysrhythmias, and seizures. Atropine sulfate must be available in the event of systemic toxicity. Pindolol is a β blocker. Naloxone hydrochloride is an opioid antagonist used to reverse narcotic-induced respiratory depression. Protamine sulfate is the antidote for heparin.

47) B

- Hypotension, dizziness, nausea, diaphoresis, headache, fatigue, constipation, and diarrhea are systemic effects of the medication. Nursing interventions include monitoring the blood pressure for hypotension and assessing the pulse for strength, weakness, irregular rate, and bradycardia. Options A, C, and D are not specifically associated with this medication.

48) B

- Cyclopentolate is a rapidly acting mydriatic and cycloplegic medication. Cyclopentolate is effective in 25 to 75 minutes, and accommodation returns in 6 to 24 hours. Cyclopentolate is used for preoperative mydriasis.

49) A

- The client can lie down or sit with the head tilted back. The lower lid should be pulled downward with the thumb or fingers. The client holds the bottle like a pencil, with the tip downward, and squeezes the bottle gently, allowing one drop to fall into the sac. The client gently closes the eye. Options B, C, and D identify correct methods for administering eye drops.

50) D

- Applying pressure on the nasolacrimal duct prevents systemic absorption of the medication. Options A, B, and C will not prevent systemic absorption.


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NCLEX Review About The Aging Eye (1-6)

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NCLEX Review About The Aging Eye (51-55)