A nurse is teaching a client who has glaucoma and a new prescription for timolol eyedrops. Which of the following statements by the client indicates an understanding of the teaching?
"I should expect my tears to turn a red color after using the eye drops."
"I will put pressure on the corner of my eye after using the eye drops."
"The drops should be placed in the center of my eye."
"These drops will improve my cloudy vision."
The Correct Answer is B
A. "I should expect my tears to turn a red color after using the eye drops.": Timolol does not cause red discoloration of tears. Redness of the eye may indicate irritation, allergy, or another adverse effect, so the client should report persistent redness rather than expect it as normal.
B. "I will put pressure on the corner of my eye after using the eye drops.": Applying gentle pressure to the nasolacrimal duct (inner corner of the eye) after instilling timolol reduces systemic absorption and potential systemic side effects, such as bradycardia or hypotension. This technique demonstrates proper administration and understanding of safety precautions.
C. "The drops should be placed in the center of my eye.": Eye drops should be instilled into the lower conjunctival sac, not directly onto the center of the cornea, to reduce irritation and maximize absorption. Placing drops on the cornea can cause discomfort and reduce effectiveness.
D. "These drops will improve my cloudy vision.": Timolol lowers intraocular pressure but does not restore vision or improve cloudiness caused by glaucoma. The goal of therapy is to prevent progression of vision loss, not to reverse existing damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Heart rate 98/min: A heart rate of 98 beats per minute is within normal limits (60–100/min) for adults. While it is at the upper end of normal, it does not typically require urgent reporting or intervention.
B. Widened P wave: A widened P wave may indicate atrial enlargement or conduction delay, which is important to note, but it is not immediately life-threatening. It should be documented and monitored, but it does not necessitate urgent notification.
C. 2 PVCs/min: Occasional premature ventricular contractions (PVCs) can occur in healthy individuals or as a response to stress, caffeine, or electrolyte imbalances. Two PVCs per minute is usually not critical unless associated with symptoms or patterns like couplets or runs of ventricular tachycardia.
D. S-T segment elevations: ST-segment elevation is a significant finding that can indicate acute myocardial injury or infarction. This is a medical emergency requiring immediate notification of the provider for rapid assessment, intervention, and potential reperfusion therapy.
Correct Answer is C
Explanation
A. The infant is swaddled but there is a blanket and a stuffed toy in the crib. Loose items increase the risk of suffocation and SUID, so this does not demonstrate safe sleep practices.
B. The infant is placed on their back, but there is a blanket and a stuffed toy in the crib. These items pose a suffocation risk and do not follow safe sleep guidelines.
C. The infant is placed on their back in a swaddle with no loose blankets or toys in the crib. This position aligns with American Academy of Pediatrics (AAP) recommendations for safe sleep to reduce the risk of SUID, demonstrating proper understanding of safe sleep practices.
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