A 35-year-old White man with a history of diabetes is scheduled for cataract surgery. He receives cyclopentolate hydrochloride (Cyclogyl) eye drops. The nurse practitioner knows the patient understands how to use the medication when he says:
"This medication will constrict my pupils and contract the ciliary muscles."
"This medication is used for corneal anesthesia."
"This medication is used to add moisture to my eyes."
"This medication is used to dilate my pupils and relax the ciliary muscles."
The Correct Answer is D
Choice A reason: This is incorrect because cyclopentolate is a mydriatic and cycloplegic agent; it does the opposite of constriction. Constricting the pupils and contracting the ciliary muscles is the effect of a miotic, not cyclopentolate.
Choice B reason: Cyclopentolate is not a topical anesthetic; corneal anesthesia is typically achieved with proparacaine or tetracaine.
Choice C reason: Cyclopentolate does not add moisture to the eyes; artificial tears are used for lubrication.
Choice D reason: This is correct. Cyclopentolate is a parasympatholytic agent that dilates the pupil (mydriasis) and paralyzes the ciliary muscle (cycloplegia), which is necessary for ophthalmologic examination and cataract surgery preparation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While oral health can reflect overall health, the primary concern in pregnancy is minimizing maternal cariogenic bacteria to reduce early childhood caries risk in the infant.
Choice B reason: Proper maternal oral care reduces cariogenic bacteria and supports healthy dental development in the infant. This advice is evidence-based and directly addresses the patient’s question about pregnancy-specific importance.
Choice C reason: This statement is vague and fear-based. While avoiding untreated dental problems is important, it does not provide the direct rationale linking maternal oral health to fetal outcomes.
Choice D reason: General dental care advice does not address the pregnancy-specific benefit, making it less precise for this patient.
Correct Answer is A
Explanation
Choice A reason: Older age is not a primary risk factor for RA; the disease often begins between 30 and 60 years of age, and younger adults can be affected.
Choice B reason: Obesity is associated with systemic inflammation and may increase susceptibility to autoimmune diseases, making it a contributing risk factor.
Choice C reason: Family history is a recognized risk factor because RA has a genetic predisposition linked to HLA-DR alleles.
Choice D reason: Current or prior cigarette smoking is a well-established environmental risk factor that can trigger autoimmune responses and increase RA risk.
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