TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
Chapter 44: Eye and Ear Disorders McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition MULTIPLE CHOICE 1. The nurse is caring for a patient who has increased intraocular pressure. The provider has
ordered levobunolol 0.5% ophthalmic solution. The nurse will perform a thorough health history to make sure the patient does not have a history of which condition? a. Asthma b. Diabetes c. Hypertension d. Renal disease ANS: A
Levobunolol is a non-selective beta blocker that can be used to treat increased intraocular pressure. This agent is contraindicated in patients with asthma. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. The nurse is performing a medication history on a patient who has glaucoma. The patient has
a prescription for brimonidine (Alphagan P). The nurse knows that this drug belongs to which class of medications? a. Alpha-adrenergic agonists N b. Beta-adrenergic blockers c. Cholinergic agonists d. Cholinesterase inhibitors ANS: A
Brimonidine is an alpha-adrenergic agonist. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. The nurse administers proparacaine HCl (Ophthaine) drops to a patient prior to an eye
examination. What sign will the nurse look for to determine when the examination can begin? a. Absence of the blink reflex b. Blurred vision c. Drying of the corneal epithelium d. Photophobia ANS: A
Proparacaine is a topical anesthetic for the eye and causes loss of the blink reflex. Drying of the corneal epithelium is a side effect but occurs later as a result of the loss of the blink reflex. Blurred vision and photophobia result from mydriasis and miosis. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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