A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the following adverse effects should the nurse monitor the client?
Bradycardia
Hypertension
Anemia
Seizures
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) "I will bend at my knees if I need to pick something up off of the floor." This statement shows an understanding of the importance of avoiding bending over at the waist post-surgery, which can increase intraocular pressure and disrupt the healing process.
b) "I can begin lying on my operative side 24 hours after my surgical procedure." Lying on the operative side should be avoided to prevent pressure on the healing eye.
c) "I will take a dose of aspirin if I have pain in the area of my eyebrow." Aspirin should generally be avoided after cataract surgery due to its anticoagulant effects, which may increase the risk of bleeding.
d) "I can pick up a sack of groceries that weighs 15 pounds." Lifting heavy objects is discouraged after cataract surgery to avoid putting pressure on the eye and affecting healing.
Correct Answer is B
Explanation
a) "I expect to have moderately severe pain for 1-2 days." Pain after cataract surgery is usually mild to moderate and typically improves significantly within a few hours to a day. Severe pain should be reported to the healthcare provider.
b) "I will take a stool softener until my eye is healed." This statement reflects appropriate teaching, as stool softeners are commonly used after eye surgery to avoid straining during bowel movements, which could increase intraocular pressure.
c) "I will refrain from cooking for 1 week." There is usually no need to refrain from activities like cooking unless the patient experiences significant discomfort or difficulty. Resting and avoiding strenuous activities are more common recommendations.
d) "I will bend at the waist to tie my shoes." Bending at the waist can increase intraocular pressure, which is contraindicated after cataract surgery. The client should be instructed to bend at the knees instead.
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