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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Avoid the intake of dairy products while using the medication: There is no specific requirement to avoid dairy products when using bulk-forming laxatives. The primary concern with bulk-forming laxatives is to ensure they are taken with adequate fluids.
B) Take the medication one hour after meals and other medications: Bulk-forming laxatives should be taken with a meal or at a different time from other medications to prevent interactions, but the key aspect is to follow the medication with sufficient fluids rather than timing relative to meals.
C) Remain upright for thirty minutes following drug administration: While remaining upright can help prevent potential esophageal irritation, it is not the primary instruction for bulk-forming laxatives. The more critical instruction is related to fluid intake to ensure effectiveness and prevent complications.
D) Follow medication administration with an additional glass of water: Bulk-forming laxatives require adequate fluid intake to function properly. Following the medication with an additional glass of water helps the laxative form a gel-like substance in the intestines, which aids in bowel movement and prevents potential complications like obstruction.
Correct Answer is A
Explanation
A. Phosphate: Calcium acetate is used primarily to manage hyperphosphatemia in patients with chronic kidney disease (CKD). It works by binding to dietary phosphate in the gut, preventing its absorption, which helps lower phosphate levels in the blood. A decrease in phosphate levels indicates that the calcium acetate is effectively controlling phosphate levels.
B. pH: While maintaining normal pH levels is important in CKD, calcium acetate does not directly affect blood pH. The primary role of calcium acetate is to manage phosphate levels rather than pH balance.
C. Calcium: Calcium acetate is a phosphate binder and does not primarily target calcium levels. It can influence calcium levels indirectly, but a decrease in calcium is not the direct measure of the medication's effectiveness. Instead, monitoring phosphate levels is more indicative of the medication’s effectiveness.
D. Potassium: Calcium acetate does not have a direct effect on potassium levels. It is specifically used to manage phosphate levels in CKD patients. Changes in potassium levels would not indicate the effectiveness of calcium acetate.
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