A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Timolol

Pilocarpine

Latanoprost

Phenylephrine

Answer and Explanation

The Correct Answer is D

Phenylephrine is an alpha-adrenergic agent. It binds onto adrenergic receptors producing a sympathetic effect that dilates the pupil. Dilation of the pupils allows for visualization of inner structures of the eye and easier access during retinal surgery.
A.   Timolol is a beta-blocker eye drop used to reduce intraocular pressure in conditions like glaucoma.
B.   Pilocarpine is a miotic agent (constricts the pupil) used to treat conditions like glaucoma.
C.   Latanoprost is a prostaglandin analog used to lower intraocular pressure in glaucoma.

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Correct Answer is C

Explanation

St. John's wort is a form of alternative form of medicine used for psychiatric illnesses such as depression and other mood disorders. It increases metabolism of estrogen and progesterone reducing the effectiveness of hormonal contraceptives which can lead to unplanned pregnancies.

A, B, D have no effect of oral contraceptives.

A. “Chew on sugarless gum or suck on hard sour candies” B. "Discontinue the medication and notify your provider." C. "Place humidifier at your bedside every evening." D. "Administer the medication with food."

Correct Answer is A

Explanation

Chewing sugarless gum or sucking on hard sour candies can help stimulate saliva production and alleviate the symptoms of dry mouth.
B. Dry mouth is a common side effect of diphenhydramine and can often be managed with simple interventions like chewing sugarless gum. Notifying the provider is not necessary
C. Placing a humidifier at the bedside may help with dry mouth indirectly by increasing moisture in the air, but it's not a direct solution for dry mouth caused by diphenhydramine.
D. Administering the medication with food is not specifically related to managing dry mouth caused by diphenhydramine.

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A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Nursing Test Bank

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