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
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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Related Questions
Correct Answer is C
Explanation
Diphenhydramine is an oral antihistamine used in pruritus. Its main side effect is sedation and hence its recommended for use at bedtime to prevent daytime somnolence.
A. Taking the medication with meals does not reduce daytime sedation.
B. Gradually decreasing the dose once tolerance to the effect is reached may be appropriate in some cases, but it does not address immediate concerns about daytime sedation.
D. Distributing the doses evenly throughout the day may not effectively minimize daytime sedation.
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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