A patient with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

Until a smaller angle can be restored.

For long-term control of normal eye pressure.

For long-term control of pain and swelling.

Until the excess pressure is reduced.

Answer and Explanation

The Correct Answer is B

A. Until a smaller angle can be restored: Open-angle glaucoma is characterized by a gradual increase in intraocular pressure due to the obstruction of the outflow of aqueous humor, not by a narrow angle. The treatment aims to control eye pressure rather than restore the angle, which is more relevant to acute angle-closure glaucoma.
B. For long-term control of normal eye pressure: Open-angle glaucoma is a chronic condition that requires ongoing management to maintain normal intraocular pressure and prevent damage to the optic nerve. The prescribed eye drops help in managing intraocular pressure over the long term to prevent vision loss.
C. For long-term control of pain and swelling: Open-angle glaucoma typically does not present with pain and swelling. The goal of treatment is to control intraocular pressure rather than address pain or swelling, which are not primary symptoms of this condition.
D. Until the excess pressure is reduced: While initial treatment aims to reduce intraocular pressure, open-angle glaucoma requires ongoing use of medications to maintain normal pressure levels and prevent progression of the disease. Discontinuing the medication after initial pressure reduction can lead to a return of elevated intraocular pressure.

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Correct Answer is D

Explanation

A) Hypertension: Phenytoin is primarily used to manage seizures, and hypertension is not a common side effect associated with its use. While monitoring blood pressure is important for overall health, it is not specifically indicated for detecting common side effects of phenytoin.
B) Peripheral edema: Peripheral edema is not a typical side effect of phenytoin. Common side effects are usually related to oral health and skin changes rather than fluid retention or swelling in the extremities.
C) Hematuria: Hematuria, or blood in the urine, is not commonly associated with phenytoin use. This side effect is more relevant to other medications or conditions, and while monitoring for overall health changes is important, it is not a primary concern with phenytoin.
D) Gingival hyperplasia: Phenytoin is well-known for causing gingival hyperplasia, which is the overgrowth of gum tissue. This is a common and notable side effect of long-term phenytoin use, making it important for the nurse to assess for this symptom in clients receiving the medication.

A. Withhold the medication until the client's breakfast tray is available on the unit. B. Consult with a pharmacist about scheduling the dose one hour after the client eats. C. Instruct the client that it is necessary to take nothing but water with the medication. D. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.

Correct Answer is C

Explanation

A. Withhold the medication until the client’s breakfast tray is available on the unit: Withholding the medication until food is available is not necessary, as risedronate should be taken on an empty stomach to ensure proper absorption. Food can interfere with the medication's effectiveness.
B. Consult with a pharmacist about scheduling the dose one hour after the client eats: This option is not suitable as risedronate should be taken on an empty stomach, and delaying the dose until after eating would compromise the medication's effectiveness.
C. Instruct the client that it is necessary to take nothing but water with the medication: Risedronate must be taken on an empty stomach with a full glass of water and the client should remain upright for at least 30 minutes afterward. Milk or other beverages can interfere with the absorption of risedronate.
D. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low-fat milk: This is not appropriate, as risedronate should be taken with water only to ensure proper absorption. Milk can reduce the effectiveness of the medication.

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A patient with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

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