HESI BSN 315 RN Pharmacology NAXLEX
Questions with Verified Correct Answers
A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic
agent. Which action should the nurse at the eye clinic include in evaluating the
effectiveness of the medication?
A. Check amount of drainage from each eye.
B. Use Snellen chart to assess visual acuity.
C. Review eye pressure measurements.
D. Palpate eyelids for decreased swelling.
Correct Answer : C
Check amount of drainage from each eye: Pilocarpine does not work by reducing eye
drainage output in a way that would be measured externally. While increased aqueous humor
outflow occurs internally, visible drainage from the eye is not an indicator of effectiveness.
Use Snellen chart to assess visual acuity: Although visual acuity can improve if intraocular
pressure is reduced, changes are often minimal. The main goal in open-angle glaucoma
management is to preserve vision by lowering intraocular pressure.
Review eye pressure measurements: Pilocarpine reduces intraocular pressure by contracting
the ciliary muscle and increasing aqueous humor outflow through the trabecular meshwork.
Monitoring intraocular pressure is the most accurate way to evaluate the drug's effectiveness.
, Palpate eyelids for decreased swelling: Eyelid swelling is not a primary symptom of open-
angle glaucoma, nor is it an expected indicator of pilocarpine's therapeutic action. Palpation
of the eyelids would not provide meaningful information about drug efficacy.
A 42-year-old female who had a right above-the-knee amputation for osteomyelitis. The
client has a drain in place and a surgical dressing that will need to be changed by the
surgeon on postop day 1.
1400:
Started continuous morphine infusion in the left antecubital vein peripheral
intravenous line via patient-controlled pump (PCA). No redness, edema, or bleeding
noted at the site.
• HR 77 bpm, R 16 Bpm, BP 118/74 mm Hg, O2 97% on room air
Admit to the surgical floor
Clear liquid diet, advance as tolerated
Continuous cardiorespiratory monitoring
Morphine 1 mg/hr continuous IV infusion via PCP
Alert surgeon to signs of bleeding or infection in the surgical site
Which actions should the nurse take to assure safety during morphine administration?
Select all that apply.
A. Ask the client about other medications she takes.
B. Suction the client to clear the airway.
C. Take an initial respiratory rate.
D. Have a
Correct Answer: A,C,D
Solution
A. Ask the client about other medications she takes: Knowing the client's full medication list
Questions with Verified Correct Answers
A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic
agent. Which action should the nurse at the eye clinic include in evaluating the
effectiveness of the medication?
A. Check amount of drainage from each eye.
B. Use Snellen chart to assess visual acuity.
C. Review eye pressure measurements.
D. Palpate eyelids for decreased swelling.
Correct Answer : C
Check amount of drainage from each eye: Pilocarpine does not work by reducing eye
drainage output in a way that would be measured externally. While increased aqueous humor
outflow occurs internally, visible drainage from the eye is not an indicator of effectiveness.
Use Snellen chart to assess visual acuity: Although visual acuity can improve if intraocular
pressure is reduced, changes are often minimal. The main goal in open-angle glaucoma
management is to preserve vision by lowering intraocular pressure.
Review eye pressure measurements: Pilocarpine reduces intraocular pressure by contracting
the ciliary muscle and increasing aqueous humor outflow through the trabecular meshwork.
Monitoring intraocular pressure is the most accurate way to evaluate the drug's effectiveness.
, Palpate eyelids for decreased swelling: Eyelid swelling is not a primary symptom of open-
angle glaucoma, nor is it an expected indicator of pilocarpine's therapeutic action. Palpation
of the eyelids would not provide meaningful information about drug efficacy.
A 42-year-old female who had a right above-the-knee amputation for osteomyelitis. The
client has a drain in place and a surgical dressing that will need to be changed by the
surgeon on postop day 1.
1400:
Started continuous morphine infusion in the left antecubital vein peripheral
intravenous line via patient-controlled pump (PCA). No redness, edema, or bleeding
noted at the site.
• HR 77 bpm, R 16 Bpm, BP 118/74 mm Hg, O2 97% on room air
Admit to the surgical floor
Clear liquid diet, advance as tolerated
Continuous cardiorespiratory monitoring
Morphine 1 mg/hr continuous IV infusion via PCP
Alert surgeon to signs of bleeding or infection in the surgical site
Which actions should the nurse take to assure safety during morphine administration?
Select all that apply.
A. Ask the client about other medications she takes.
B. Suction the client to clear the airway.
C. Take an initial respiratory rate.
D. Have a
Correct Answer: A,C,D
Solution
A. Ask the client about other medications she takes: Knowing the client's full medication list
