Page 1998 - Saunders Comprehensive Review For NCLEX-RN

Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Skills: Medication Administration
Health Problem: N/A
Priority Concepts: Clinical Judgment; Safety
Reference: Potter et al. (2017), p. 631.

700. Answer: 4

Rationale: Options 1 and 2 are miotic agents used to treat glaucoma. Option 3 is
an anti-infective medication used to treat bacterial conjunctivitis. Atropine sulfate is
a mydriatic and cycloplegic (also anticholinergic) medication, and its use is
contraindicated in clients with glaucoma. Mydriatic medications dilate the pupil and
can cause an increase in intraocular pressure in the eye.
Test-Taking Strategy: Focus on the subject, the medication that the nurse should
question. Recalling the classifications of the medications identified in the options
will assist in answering the question. Remember that mydriatics dilate the pupil and
that these medications are contraindicated in glaucoma.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Analysis
Content Area: Pharmacology: Eye and Ear: Glaucoma Medications
Health Problem: Adult Health: Eye: Glaucoma
Priority Concepts: Collaboration; Safety
Reference: Burchum, Rosenthal (2016), pp. 120, 1272-1273

701. Answer: 3

Rationale: Miotics cause pupillary constriction and are used to treat glaucoma.
They lower the intraocular pressure, thereby increasing blood flow to the retina and
decreasing retinal damage and loss of vision. Miotics cause a contraction of the
ciliary muscle and a widening of the trabecular meshwork. Options 1, 2, and 4 are
incorrect.
Test-Taking Strategy: Note that the client has glaucoma. Recall that prevention of
increased intraocular pressure is the goal in the client with glaucoma. Options 1, 2,
and 4 are comparable or alike and describe actions related to mydriatic medications,
which primarily dilate the pupils and relax the ciliary muscles.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Pharmacology: Eye and Ear: Glaucoma Medications
Health Problem: Adult Health: Eye: Glaucoma
Priority Concepts: Client Education; Safety
Reference: Ignatavicius, Workman, Rebar (2018), p. 976.

702. Answer: 3

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