Which medication, if prescribed for the client with glaucoma, should the nurse question?
Pilocarpine (Ocusert Pilo-20, Ocusert Pilo-40)
Atropine sulfate (Isopto Atropine)
Betaxolol (Betoptic)
Pilocarpine hydrochloride (Isopto Carpine)
The Correct Answer is B
a) Pilocarpine (Ocusert Pilo-20, Ocusert Pilo-40): Pilocarpine is a cholinergic agent used to treat glaucoma, and its use is generally safe for this condition.
b) Atropine sulfate (Isopto Atropine): Atropine is an anticholinergic medication that can increase intraocular pressure, which is contraindicated in glaucoma.
c) Betaxolol (Betoptic): Betaxolol is a beta-blocker that is commonly prescribed to treat glaucoma by decreasing intraocular pressure.
d) Pilocarpine hydrochloride (Isopto Carpine): Pilocarpine is also used to reduce intraocular pressure in glaucoma patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Report signs of corneal rejection to the physician: Cloudiness may indicate graft rejection, requiring immediate medical attention.
b) Elevate the patient's head and encourage increased fluid intake: This can help reduce intraocular pressure but does not address corneal rejection.
c) Reassure the patient that cloudiness is normal for several weeks: Persistent cloudiness is not typical and warrants evaluation.
d) Prepare the patient for emergency surgery: Emergency surgery is not the first step unless complications are severe.
Correct Answer is C
Explanation
a) Severely increased: A reading of 17 mm Hg is within the normal range for intraocular pressure (IOP), which is typically 10-21 mm Hg.
b) Slightly increased: A reading of 17 mm Hg is within the normal range and does not indicate an increased IOP.
c) Normal: A reading of 17 mm Hg is considered within the normal range for intraocular pressure.
d) Decreased: A reading of 17 mm Hg does not indicate decreased intraocular pressure.
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