a) Bradycardia: Timolol, a beta-blocker, can cause bradycardia when absorbed systemically.
b) Hypertension: Timolol typically lowers blood pressure rather than increasing it.
c) Anemia: Timolol does not affect red blood cell production.
d) Seizures: Seizures are not associated with timolol use.

a) Urinary retention: Pilocarpine, a cholinergic agent, promotes bladder contraction rather than causing retention.
b) Hypertension: Pilocarpine is more likely to cause hypotension.
c) Diarrhea: A parasympathetic effect of pilocarpine is increased gastrointestinal motility, leading to diarrhea.
d) Decreased salivation: Pilocarpine increases salivation.

a) Bleeding ulcer: Not associated with glomerulonephritis.
b) Fungal infection: Fungal infections do not typically cause glomerulonephritis.
c) Hypertension: A symptom rather than a cause of glomerulonephritis.
d) Streptococcal infection: Glomerulonephritis often follows a streptococcal infection.

a) Nerve damage from listening to loud music: This would cause sensorineural hearing loss, where sound localizes to the unaffected ear.
b) Blocked ear canal in the right ear: This would not explain louder sound in the left ear.
c) Normal hearing: Sound is perceived equally in both ears.
d) Conductive hearing loss in the left ear: Conductive hearing loss causes sound to localize to the affected ear.

a) Report signs of corneal rejection to the physician: Cloudiness may indicate graft rejection, requiring immediate medical attention.
b) Elevate the patient's head and encourage increased fluid intake: This can help reduce intraocular pressure but does not address corneal rejection.
c) Reassure the patient that cloudiness is normal for several weeks: Persistent cloudiness is not typical and warrants evaluation.
d) Prepare the patient for emergency surgery: Emergency surgery is not the first step unless complications are severe.

a) Continuous swallowing: Continuous swallowing may indicate bleeding as the child is attempting to swallow blood that has accumulated in the throat.
b) Poor fluid intake: Poor fluid intake is not a primary sign of hemorrhage but could occur due to pain or discomfort post-surgery.
c) Drooling: Drooling can occur due to difficulty swallowing after a tonsillectomy but is not a direct indicator of bleeding.
d) Increased pain: While pain may increase after surgery, increased pain alone is not a definitive sign of hemorrhage.

a) "Use a sterile glove and applicator to apply the antibiotic ointment." Using sterile equipment is not necessary for the application of ophthalmic ointment. The key is proper hand hygiene to prevent the spread of infection.
b) "Keep your eye open for 30 sec after instilling the ointment." It is unnecessary to keep the eye open for 30 seconds after applying the ointment. It should be gently closed to help distribute the medication.
c) "Always wipe from the outer to the inner canthus when wiping away secretions." This is incorrect because wiping from the inner to the outer canthus is recommended to prevent contamination of the clean parts of the eye.
d) "Apply the ointment in a thin line into the conjunctival sac." This is the correct method for applying the ointment, ensuring that the medication reaches the affected area.

a) Pilocarpine (Ocusert Pilo-20, Ocusert Pilo-40): Pilocarpine is a cholinergic agent used to treat glaucoma, and its use is generally safe for this condition.
b) Atropine sulfate (Isopto Atropine): Atropine is an anticholinergic medication that can increase intraocular pressure, which is contraindicated in glaucoma.
c) Betaxolol (Betoptic): Betaxolol is a beta-blocker that is commonly prescribed to treat glaucoma by decreasing intraocular pressure.
d) Pilocarpine hydrochloride (Isopto Carpine): Pilocarpine is also used to reduce intraocular pressure in glaucoma patients.

a) Urinary output of 280 mL during previous 8 hr: This output is within normal limits for an adult, so it does not require immediate reporting.
b) Pedal edema: Edema can occur with glomerulonephritis due to fluid retention, but it is not the most urgent sign.
c) Hematuria: Hematuria is a common finding in glomerulonephritis and does not necessarily require immediate intervention unless severe.
d) Blood pressure 162/90 mm Hg: A blood pressure of 162/90 mm Hg is high and could indicate worsening renal function or complications that require immediate medical attention.

a) "I should call the clinic before taking any over-the-counter medications.": Over-the-counter medications, especially decongestants and antihistamines, can increase intraocular pressure and should be used with caution in glaucoma patients.
b) "Every two years I will need to have my vision checked by an eye doctor.": This is incorrect because glaucoma patients need more frequent eye exams, typically every 6 to 12 months.
c) "If I forget to take my eye drops, I should wait until the next time they are due.": The client should take the missed dose as soon as remembered, unless it is close to the next scheduled dose. Waiting could result in elevated intraocular pressure.
d) "When my vision improves, I will be able to stop taking the eye drops.": Vision may not improve with glaucoma treatment, and medications should be taken consistently to manage intraocular pressure, even if symptoms are controlled.