ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 57 : Ophthalmic Drugs Questions
Question 1 of 5
A patient is about to undergo ocular surgery. The preoperative nurse anticipates that which drug will be used for local anesthesia?
Correct Answer: B
Rationale: Proparacaine and tetracaine are used as a local anesthetic for ocular surgery or other procedures. The other drugs are used for glaucoma.
Question 2 of 5
A patient with an eye injury requires an ocular examination to detect the presence of a foreign body. The nurse anticipates that which drug will be used for this examination?
Correct Answer: B
Rationale: Fluorescein sodium is an ophthalmic diagnostic dye used to identify corneal defects and to locate foreign objects in the eye. Phenylephrine is an ocular decongestant; atropine sulfate has mydriatic and cycloplegic effects, which are useful for examining the inner eye structures; olopatadine is an ophthalmic antihistamine.
Question 3 of 5
The nurse is administering antibiotic eyedrops to a patient for the first time. After the first drop is given, the patient states, 'That eyedrop is making my eye sting! Is that normal?' Which is the best response by the nurse?
Correct Answer: B
Rationale: Ocular antibiotics may cause local inflammation, burning, stinging, urticaria, and dermatitis. These effects are transient. The other options are incorrect.
Question 4 of 5
A patient is receiving ocular cyclosporine and also has an order for an artificial tears product. The nurse includes which instructions in the teaching plan for these medications?
Correct Answer: D
Rationale: Cyclosporine (Restasis) can be used together with artificial tears if the drugs are given 15 minutes apart. The other options are incorrect.
Question 5 of 5
The nurse is administering ophthalmic drops. Choose the action that should be performed first.
Correct Answer: D
Rationale: Before applying eye medications, clean any debris from the eye, if needed, and have the patient tilt the head back and look up at the ceiling. Drops are placed into the conjunctival sac, and then the eye is closed gently. Pressure may be applied to the inner canthus/lacrimal sac for 1 minute to reduce systemic absorption, and any excess medication can then be removed from around the eyes.