The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of the eye drops?
Pupillary constriction.
Refraction.
Eye convergence.
Accommodation.
The Correct Answer is A
A. Pupillary constriction: Mydriatic eye drops are designed to dilate the pupils, which means they inhibit pupillary constriction. During the therapeutic period after administration, the pupil remains dilated and does not constrict in response to light or other stimuli.
B. Refraction: Refraction, the bending of light as it passes through the eye's lens and cornea, is not directly affected by mydriatic eye drops. The process of focusing light onto the retina is still functional even when the pupils are dilated.
C. Eye convergence: Eye convergence, the inward movement of both eyes toward each other to focus on a close object, remains functional during mydriasis. Mydriatic drops do not typically impair this ability.
D. Accommodation: Accommodation, the eye's ability to change the focus from distant to near objects, is affected by mydriatic drops. These medications paralyze the ciliary muscles responsible for accommodation, making it difficult to focus on near objects during the period of dilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. High-density lipoprotein (HDL): While HDL levels are important for assessing cardiovascular risk, atorvastatin primarily targets the reduction of low-density lipoprotein (LDL) cholesterol. An increase in HDL is generally beneficial, but it is not the primary measure of atorvastatin's effectiveness.
B. Prothrombin time (PT): PT measures blood clotting ability and is not directly related to the effectiveness of atorvastatin. Atorvastatin’s role is to manage cholesterol levels, not to influence coagulation directly.
C. Creatine phosphokinase (CK): CK levels can be monitored to assess muscle damage or myopathy, a potential side effect of atorvastatin. However, changes in CK are not a direct measure of the medication’s effectiveness in lowering cholesterol.
D. Low-density lipoprotein (LDL): This is the most appropriate indicator of atorvastatin's effectiveness. Atorvastatin is a statin medication used to lower LDL cholesterol levels, which is a primary goal in managing and reducing the risk of coronary artery disease. A decrease in LDL cholesterol levels reflects that the medication is working as intended.
Correct Answer is A
Explanation
A. Explain that the medication is not given to prevent pain: Scopolamine transdermal patches are primarily used to prevent nausea and vomiting associated with motion sickness or postoperative conditions, not for pain management. This explanation addresses the client's misunderstanding about the purpose of the medication and clarifies that scopolamine is not intended to relieve pain.
B. Offer to apply a new transdermal patch to relieve the pain: This is not appropriate because scopolamine is not used for pain relief. Applying a new patch will not address the client's pain, as the medication's purpose is not related to analgesia.
C. Advise the client that the effects of the medication have worn off: This is incorrect because scopolamine patches are typically used for prophylaxis against nausea and are effective for several days. The medication’s effects should not wear off within a few hours, and the patch is not designed to address pain.
D. Check for correct placement of the patch behind the client's ear: While ensuring the correct placement of the patch is important for its efficacy, the client’s pain indicates a misunderstanding of the patch’s purpose. The patch’s placement is not related to the pain the client is experiencing, as scopolamine is not meant to relieve pain.
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