Page 1995 - Saunders Comprehensive Review For NCLEX-RN
P. 1995

3. Blink vigorously to encourage tearing after instilling the drops.
                                 4. Occlude the nasolacrimal duct with a finger after instilling the
                                   drops.
                   699. A client is prescribed an eye drop and an eye ointment for the right eye. How
                        should the nurse best administer the medications?
                                 1. Administer the eye drop first, followed by the eye ointment.
                                 2. Administer the eye ointment first, followed by the eye drop.
                                 3. Administer the eye drop, wait 15 minutes, and administer the eye
                                   ointment.
                                 4. Administer the eye ointment, wait 15 minutes, and administer the
                                   eye drop.
                   700. Which medication, if prescribed for the client with glaucoma, should the
                        nurse question?
                                 1. Betaxolol
                                 2. Pilocarpine
                                 3. Erythromycin
                                 4. Atropine sulfate
                   701. A miotic medication has been prescribed for the client with glaucoma, and
                        the client asks the nurse about the purpose of the medication. Which
                        response should the nurse provide to the client?
                                 1. “The medication will help dilate the eye to prevent pressure from
                                   occurring.”
                                 2. “The medication will relax the muscles of the eyes and prevent
                                   blurred vision.”
                                 3. “The medication causes the pupil to constrict and will lower the
                                   pressure in the eye.”
                                 4. “The medication will help block the responses that are sent to the
                                   muscles in the eye.”
                   702. A client was just admitted to the hospital to rule out a gastrointestinal (GI)
                        bleed. The client has brought several bottles of medications prescribed by
                        different specialists. During the admission assessment, the client states,
                        “Lately, I have been hearing some roaring sounds in my ears, especially
                        when I am alone.” Which medication would the nurse identify as the cause
                        of the client’s complaint?
                                 1. Doxycycline
                                 2. Atropine sulfate
                                 3. Acetylsalicylic acid
                                 4. Diltiazem hydrochloride
                   703. In preparation for cataract surgery, the nurse is to administer cyclopentolate
                        eye drops at 9:00 a.m. for surgery that is scheduled for 9:15 a.m. What initial
                        action should the nurse take in relation to the characteristics of the
                        medication action?
                                 1. Provide lubrication to the operative eye prior to giving the eye
                                   drops.
                                 2. Call the surgeon, as this medication will further constrict the
                                   operative pupil.
                                 3. Consult the surgeon, as there is not sufficient time for the dilative
                                   effects to occur.



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