A client with glaucoma is receiving betaxolol hydrochloride eye drops.
Before the administration, the nurse will likely perform which of the following interventions?
Assessing all peripheral pulses.
Assessing orientation.
Monitor blood sugar level.
Monitor pulse rate.
The Correct Answer is D
This question addresses the monitoring requirements for beta-adrenergic antagonists used in ophthalmic preparations. It requires recognizing that even topical medications can cause systemic absorption, leading to cardiovascular effects like bradycardia, which necessitates assessment of the patient's pulse before drug administration.
Choice A rationale
While peripheral pulses assess circulation, they are not the primary systemic cardiovascular parameter affected by beta-blockers. Monitoring the heart rate is more direct and sensitive for detecting the specific systemic adverse effects of this class of ophthalmic medication.
Choice B rationale
Assessing orientation is part of a neurological assessment, not a specific priority for a patient receiving betaxolol eye drops. The nurse focuses on systemic effects relevant to the drug’s pharmacological category, which is cardiovascular rather than neurological in this context.
Choice C rationale
Although beta-blockers can mask the symptoms of hypoglycemia in diabetic patients, monitoring blood sugar is not the standard priority intervention before administering ophthalmic betaxolol. The most immediate systemic concern is potential bradycardia resulting from the drug's beta-1 blocking effects.
Choice D rationale
Betaxolol is a cardioselective beta-1 blocker. Even when administered topically to the eye, it can be systemically absorbed and cause bradycardia. Therefore, the nurse must assess the apical pulse rate before each dose to ensure the heart rate is within safe parameters.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This question tests the understanding of pharmacokinetics, specifically how different routes of administration affect the rate of drug absorption. It requires identifying the route that delivers the medication directly into the bloodstream, thereby achieving the most rapid systemic bioavailability for an immediate therapeutic response.
Choice A rationale
The intravenous route delivers medication directly into the systemic circulation, bypassing the absorption phase required by other routes. This provides immediate, 100 percent bioavailability, making it the fastest method for achieving high plasma drug concentrations for acute management.
Choice B rationale
The oral route requires the drug to pass through the stomach and intestines, undergo dissolution, and be absorbed through the gastrointestinal membrane before reaching the liver for first-pass metabolism. This is the slowest route of absorption among the provided options.
Choice C rationale
The intramuscular route involves drug absorption from the muscle tissue into the local capillaries. While faster than oral administration, it is significantly slower than the intravenous route because the drug must still diffuse from the muscle into the systemic circulation.
Choice D rationale
The subcutaneous route involves absorption from the adipose tissue into the bloodstream. This process is generally slow due to the relatively poor vascularity of fatty tissue compared to muscle or venous access, resulting in a delayed onset of systemic drug action..
Correct Answer is ["25"]
Explanation
Step 1 is calculate the number of half-lives that have elapsed: (1200 - 0600) = 6 hours.
Step 2 is 6 hours ÷ 2 hours/half-life = 3 half-lives.
Step 3 is calculate the decay: 200 mg/L ÷ 2 = 100 mg/L after 2 hours.
Step 4 is 100 mg/L ÷ 2 = 50 mg/L after 4 hours.
Step 5 is 50 mg/L ÷ 2 = 25 mg/L after 6 hours. Final calculated answer is 25 mg/L.
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