Page 1979 - Saunders Comprehensive Review For NCLEX-RN

5. Confusion

E. Interventions

1. Monitor for allergic response.
2. Assess for risk of injury.
3. Assess for constipation and urinary retention.
4. Instruct the client that a burning sensation may occur
on instillation.
5. Instruct the client not to drive or perform hazardous
activities for 24 hours after instillation of the
medication unless otherwise directed by the PHCP.
6. Instruct the client to wear sunglasses until the effects
of the medication wear off.
7. Instruct the client to notify the PHCP if blurring of
vision, loss of sight, difficulty breathing, sweating, or
flushing occurs.
8. Instruct the client to report eye pain to the PHCP.

Mydriatics are contraindicated in clients with glaucoma

because of the risk of increased intraocular pressure.
III. Anti-infective Eye Medications (Box 57-2)
A. Description: Anti-infective medications kill or inhibit the growth
of bacteria, fungi, and viruses.
B. Side and adverse effects
1. Superinfection
2. Global irritation
C. Interventions
1. Assess for risk of injury.

2. Instruct the client how to apply the eye medication;
remind the client to clean exudates from the eyes
before administering the medication.
3. Reinforce the importance of completing the prescribed
medication regimen.
4. Instruct the client to wash the hands thoroughly and
frequently.
5. Advise the client to notify the PHCP if improvement
does not occur.
IV. Antiinflammatory Eye Medications (Box 57-3)
A. Description
1. Antiinflammatory medications control inflammation,
thereby reducing vision loss and scarring.
2. Antiinflammatory medications are used for uveitis,
allergic conditions, and inflammation of the
conjunctiva, cornea, and lids.
B. Side and adverse effects

1979