A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statements indicates an understanding of the teaching?

"It's okay to put the drops in my eyes while I'm wearing my contacts."

"I can expect to feel some irritation when I put these drops in my eyes."

"I should expect to stop taking the medication after 3 weeks."

"These eye drops might change the color of my eyes."

Answer and Explanation

The Correct Answer is B

A. Brimonidine should not be instilled while wearing contact lenses; the client should remove them and wait at least 15 minutes before reinsertion.
B. Mild eye irritation, stinging, or burning is a common side effect of brimonidine and is an expected finding.
C. Brimonidine is used as a long-term treatment for open-angle glaucoma; it is not discontinued after a short course like 3 weeks.
D. Brimonidine does not change eye color; this is an effect associated with prostaglandin analogs such as latanoprost.

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Correct Answer is C

Explanation

A. Bradycardia: Albuterol can cause an increase in heart rate (tachycardia) as a common side effect, not a decrease in heart rate, so bradycardia would not be expected.

B. Wheezing: Albuterol is used to relieve wheezing by causing bronchodilation, so continued wheezing after administration would suggest ineffective treatment rather than being an expected finding.

C. Tremors: Tremors are a common side effect of albuterol due to its stimulation of beta-2 receptors in the muscles. This is often seen after nebulizer treatments.

D. Sleepiness: Albuterol generally causes stimulation of the central nervous system, leading to restlessness or nervousness, not sleepiness.

A. Gastrointestinal bleed B. Acute bronchospasm C. Morphine toxicity D. Acetaminophen toxicity

Correct Answer is D

Explanation

A. Acetylcysteine is not indicated for gastrointestinal bleeding; other treatments are used for that condition.

B. Acute bronchospasm is treated with bronchodilators rather than acetylcysteine.

C. Morphine toxicity requires other interventions, such as opioid antagonists (e.g., naloxone), and acetylcysteine is not effective in this case.

D. Acetylcysteine is specifically indicated for acetaminophen toxicity as it acts as an antidote, replenishing glutathione stores and preventing liver damage from toxic metabolites.

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A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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