A nurse is collecting data from a client who self-administers pilocarpine ophthalmic drops. Which of the following findings by the nurse indicates a systemic adverse effect of this medication?
Urinary retention
Hypertension
Diarrhea
Decreased salivation
The Correct Answer is C
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
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.
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