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) A red, dull, thick, and immobile tympanic membrane: In acute otitis media, the tympanic membrane typically appears red, dull, thickened, and may be immobile due to fluid and infection in the middle ear.
b) A transparent and clear tympanic membrane: This would suggest a healthy, non-infected ear, which is not expected in acute otitis media.
c) A pink-colored tympanic membrane: This is not a typical finding in acute otitis media; a pink membrane is more characteristic of a healthy ear.
d) A pearly colored tympanic membrane: A pearly color is normal for the tympanic membrane, indicating a healthy ear with no infection.
Correct Answer is D
Explanation
a) Allergic rhinitis: Allergic rhinitis typically causes symptoms like sneezing, itchy eyes, and nasal congestion, but it does not typically present with the toothache-like pain or the fullness in the head seen in sinusitis.
b) Impacted wisdom teeth: Impacted wisdom teeth may cause pain in the jaw or gums, but they would not be associated with the fullness in the head or symptoms specific to sinus pressure.
c) Nasal polyps: Nasal polyps can cause nasal congestion or a runny nose, but they usually don't cause the specific symptoms of headache, facial pain, or fullness seen in sinusitis.
d) Sinusitis: The symptoms described (morning headaches, fullness in the head, and pain similar to a toothache under the eye) are indicative of sinusitis, an inflammation of the sinuses, which can cause these specific types of discomfort.
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