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 D

Explanation

Rationale- Levothyroxine is a synthetic form of thyroxine that is used in the management of symptomatic hypothyroidism. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism.

A-Levofloxacin is a fluoroquinolone antibiotic for treatment of infections

B- Ionizing radiation used in the destroying active thyroid tissue in the cases of hyperthyroidism

C- Sumatriptan is serotonin antagonist used in the treatment of migraines

A. Hold pressure on the conjunctiva sac for 2 min following application of drops. B. Administer the medications 5 min apart. C. It is not necessary to remove contact lenses before administering medications. D. Administer the medications by touching the tip of the dropper to the sclera of the eye.

Correct Answer is B

Explanation

When using multiple eye drops, it's generally recommended to wait at least 5 minutes between administering each medication. This helps prevent dilution of the medication and improves its absorption.
A is incorrect because holding pressure on the conjunctival sac after administering eye drops is not necessary and may increase systemic absorption of the medication.
C is incorrect because contact lenses should typically be removed before administering eye drops to prevent interference with the medication reaching the eye.
D is incorrect because touching the tip of the dropper to the sclera of the eye can contaminate the dropper tip and increase the risk of infection. It's important to administer eye drops without touching the tip to the eye or any other surface.

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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

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Correct Answer is D

Explanation

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

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