The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of the eye drops?
Pupillary constriction.
Refraction.
Eye convergence.
Accommodation.
The Correct Answer is A
A. Pupillary constriction: Mydriatic eye drops are designed to dilate the pupils, which means they inhibit pupillary constriction. During the therapeutic period after administration, the pupil remains dilated and does not constrict in response to light or other stimuli.
B. Refraction: Refraction, the bending of light as it passes through the eye's lens and cornea, is not directly affected by mydriatic eye drops. The process of focusing light onto the retina is still functional even when the pupils are dilated.
C. Eye convergence: Eye convergence, the inward movement of both eyes toward each other to focus on a close object, remains functional during mydriasis. Mydriatic drops do not typically impair this ability.
D. Accommodation: Accommodation, the eye's ability to change the focus from distant to near objects, is affected by mydriatic drops. These medications paralyze the ciliary muscles responsible for accommodation, making it difficult to focus on near objects during the period of dilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Explain that the medication is not given to prevent pain: Scopolamine transdermal patches are primarily used to prevent nausea and vomiting associated with motion sickness or postoperative conditions, not for pain management. This explanation addresses the client's misunderstanding about the purpose of the medication and clarifies that scopolamine is not intended to relieve pain.
B. Offer to apply a new transdermal patch to relieve the pain: This is not appropriate because scopolamine is not used for pain relief. Applying a new patch will not address the client's pain, as the medication's purpose is not related to analgesia.
C. Advise the client that the effects of the medication have worn off: This is incorrect because scopolamine patches are typically used for prophylaxis against nausea and are effective for several days. The medication’s effects should not wear off within a few hours, and the patch is not designed to address pain.
D. Check for correct placement of the patch behind the client's ear: While ensuring the correct placement of the patch is important for its efficacy, the client’s pain indicates a misunderstanding of the patch’s purpose. The patch’s placement is not related to the pain the client is experiencing, as scopolamine is not meant to relieve pain.
Correct Answer is C
Explanation
A. Topical echinacea is usually used to soothe burns and can cause damage to the skin: While echinacea is sometimes used for skin conditions, this option inaccurately describes its use and safety. Echinacea is more commonly used for its potential immune-boosting properties rather than for treating burns. There is limited evidence that it can cause damage to the skin when used topically, although individual reactions can vary.
B. This product is essentially harmless but also is not very beneficial in treating skin infections: This response minimizes the potential benefits of echinacea. While echinacea's effectiveness in treating conditions like canker sores is debated, it is not accurate to dismiss it as not beneficial. The product's safety and potential effectiveness should be evaluated based on current evidence rather than outright dismissal.
C. Echinacea seems to be useful in the treatment of some infections, such as canker sores: This response acknowledges that echinacea may have some beneficial effects. Although evidence is mixed, some studies suggest that echinacea might have therapeutic properties for certain conditions, including canker sores. This response provides a balanced view of echinacea's potential benefits while still reflecting the current understanding of its effectiveness.
D. Many of the herbal preparations are helpful primarily because of their placebo effect: While it is true that some herbal preparations may have a placebo effect, this response does not address the specific use of echinacea for canker sores and can undermine the genuine potential benefits of herbal treatments. It is more appropriate to discuss the evidence supporting echinacea's use and potential benefits.
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