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NURS 1140 Pharm Final Exam EAQs(Questions and answers) LATEST UPDATE

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NURS 1140 Pharm Final Exam EAQs(Questions and answers) LATEST UPDATE

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NURS 1140 Pharm Final Exam EAQs(Questions and
answers) LATEST UPDATE

Pilocarpine interactions - ANSWER...›Carbamate and or organophosphate
insecticides and pesticides

The nurse is instructing the patient on the use of pilocarpine. Which statement by
the nurse is correct?
A."This medication will inhibit the release of histamine so you will not have itchy
eyes."
B."These eyedrops are used to treat your glaucoma."
C."When these drops are used, they cause a stain on the eye for examination
purposes."
D."This medication prevents production of aqueous humor so increased intraocular
pressure is reduced." - ANSWER...B. "These eyedrops are used to treat your
glaucoma."

Classification of phenylephrine - ANSWER...Alpha-Adrenergic Agent

Action of phenylephrine - ANSWER...cause pupil dilation, increasing the outflow,
vasoconstriction and relaxation of ciliary muscle

indication for phenylephrine - ANSWER...lower IOP in open angle glaucoma

special population considerations with phenylephrine - ANSWER...Caution for
patients with:
Hypertension
Diabetes mellitus
Hyperthyroidism
Heart disease
Arteriosclerosis
Long-standing bronchial asthma

,common side effects of phenylephrine - ANSWER...Sensitivity to bright light
(dilation)
Conjunctival irritation
Abnormal secretion of tears (lacrimation)

Serious adverse effects of phenylephrine - ANSWER...Palpitations
Tachycardia
Abnormal heart rhythm
Hypertension
Fainting
Trembling
Sweating

Phenylephrine interactions - ANSWER...tricyclic antidepressants- hypertension

timolol classification - ANSWER...beta-adrenergic blocking agents

action of timolol - ANSWER...reduce production of aqueous humor

common side effects of timolol - ANSWER...Conjunctival irritation
Abnormal secretion of tears

contraindications of timolol - ANSWER...Bradycardia
Hypertension
Respiratory disorder

Serious adverse effects of timolol - ANSWER...Bradycardia
Fainting
Hypotension
Bronchospasm
Abnormal heart rhythm

Timolol interactions - ANSWER...Nonophthalmic beta-adrenergic blocking
agents -additive effects

, To prevent systemic side effects, what preventive action can the nurse take when
instilling eye drops?
A.Wipe applicator prior to use
B.Gently press down the tear duct for 3-5 minutes after dosing
C.Wipe eyelids with a tissue after drops are instilled
D.Perform hand hygiene - ANSWER...B.Gently press down the tear duct for 3-5
minutes after dosing

What intervention could the nurse perform for a patient just given alpha-adrenergic
agents for the eye? Select all that apply.
A.Dim the lights in the room
B.Provide the patient a pair of sunglasses
C.Open the curtains
D.Provide adequate hydration - ANSWER...A, B

Category for latanoprost - ANSWER...Prostaglandin Agonists

Action of latanoprost - ANSWER...increases outflow of aqueous humor

Contraindications for latanoprost - ANSWER...closed angle glaucoma
use of thimerosal
eye trauma/bleeding

Side effects of latanoprost - ANSWER...○Lacrimation (tears)
○Conjunctival irritation
○Burning and stinging of the eye
○Change in eye color pigmentation and eyelids
○Increased growth/ thickness of eyelashes

latanoprost interactions - ANSWER...Thimerosal- causes precipitate

Category for bacitracin - ANSWER...Ophthalmic Antibiotics

Indications for bacitracin - ANSWER...Superficial eye infections
Ophthalmia Neonatorum

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