A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eyedrops cause eye burning and visual blurriness after administration. The best response to the patient's statement is
"Those symptoms may indicate a need for a change in dosage of the eyedrops."
"The drops are uncomfortable, but it is important to use them to retain your vision."
"These are normal side effects of the drug, which should be less noticeable with time."
"Notify your health care provider so that different eyedrops can be prescribed for you."
The Correct Answer is C
Rationale:
A. Burning and blurriness are common local side effects and not typically an indication that the dosage needs to be changed.
B. While true that timolol must be continued to preserve vision, this response does not address the patient’s concern about side effects.
C. Burning, discomfort, and temporary blurriness are common side effects of timolol eye drops and usually improve with continued use.
D. A medication change is not indicated unless symptoms are severe, persistent, or intolerable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Soap is irritating to the eyes and can cause injury, especially when the protective corneal reflex is absent.
B. Warm saline compresses are not appropriate eye protection and can increase the risk of infection.
C. Darkening the room may reduce stimulation but does not protect the eyes from dryness or injury.
D. Loss of the corneal reflex prevents blinking, which normally keeps the eyes moist. Lubricating drops or ointments help protect the cornea from drying and injury.
Correct Answer is D
Explanation
Rationale:
A. Only the client should administer PCA medication. Allowing others to do so increases the risk of oversedation and respiratory depression.
B. This is a non-therapeutic response that can sound judgmental and does not address safety.
C. This encourages unsafe practice because only the patient should control PCA administration.
D. PCA pumps are designed for the client to self-administer analgesia based on their pain level. This prevents oversedation and ensures safe use of opioids.
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