A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicate to the nurse that the client has developed a systemic anticholinergic eﬀect?

Hypothermia

Bradycardia

Seizures

Constipation

Answer and Explanation

The Correct Answer is D

Mydriatic eye drops can cause systemic anticholinergic eﬀects 1. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that transfers signals between cells to aﬀect how your body functions 2. This can lead to side eﬀects such as decreased digestion 2, which can result in constipation.

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Correct Answer is C

Explanation

According to Mayo Clinic, if you are using more than one eye product, you should apply these medicines at least 5 minutes apart1. None of the other options are listed as instructions for administering timolol and pilocarpine eye drops.

A. A recent history of diarrhea for 3 days. B. Serum creatinine 0.8 mg/dL. C. Severe allergy to amoxicillin. D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride.

Correct Answer is C

Explanation

Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.

A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.

A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.

A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a diﬀerent site or route for administration if necessary.

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A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicate to the nurse that the client has developed a systemic anticholinergic eﬀect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at an ophthalmology clinic Is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?

Correct Answer is C

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is C

Explanation

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