A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the following adverse effects should the nurse monitor the client?
Bradycardia
Hypertension
Anemia
Seizures
The Correct Answer is A
a) Bradycardia: Timolol, a beta-blocker, can cause bradycardia when absorbed systemically.
b) Hypertension: Timolol typically lowers blood pressure rather than increasing it.
c) Anemia: Timolol does not affect red blood cell production.
d) Seizures: Seizures are not associated with timolol use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Encourage increased fluid intake: In acute glomerulonephritis, fluid retention is common due to kidney dysfunction, so increasing fluid intake can exacerbate symptoms like edema and hypertension.
b) Encourage frequent ambulation: While ambulation is important for overall health, excessive activity may worsen symptoms such as fatigue or edema in clients with acute glomerulonephritis. Rest and limited activity are often recommended initially.
c) Obtain weekly weight: For a client with acute glomerulonephritis, weight monitoring should ideally be done daily. This allows for more precise tracking of fluid balance and early detection of fluid retention or weight gain, which could indicate worsening of the condition.
d) Place the client on a low-sodium diet: A low-sodium diet helps reduce fluid retention and lower blood pressure, which are important in managing acute glomerulonephritis and preventing complications such as edema or hypertension.
Correct Answer is ["D","E"]
Explanation
a) "Moderate to severe pain is expected." Mild discomfort or a sensation of something in the eye is common after cataract surgery, but moderate to severe pain is not expected. Significant pain may indicate complications such as infection or increased intraocular pressure.
b) "Resume usual activities immediately." The patient should avoid strenuous activities, bending, lifting, and sudden movements that could increase intraocular pressure or cause trauma to the eye.
c) "Always lie on the unaffected side." The patient should avoid sleeping on the operative side to prevent pressure on the eye. Lying on the unaffected side is encouraged, but the primary goal is to avoid pressure on the operated eye.
d) "Expect a small amount of bleeding." A small amount of bleeding or clear drainage may occur in the early postoperative period, which is typically not concerning unless it becomes excessive or persistent.
e) "Avoid pressure on the operative eye." Avoiding pressure on the operative eye is essential to prevent complications such as dislodging the lens or increasing intraocular pressure.
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