Chapter 10 - Prioritization, Delegation, and Assignment 2023 A+

The nurse is reviewing medications that have been prescribed for several clients who have disorders of the eye. Which medication prescription is the *most* important to discuss with the health care provider? •Timolol for open-angle glaucoma •Cromolyn sodium for allergic conjunctivitis •Atropine for acute angle-closure glaucoma •Ranibizumab for wet age-related macular degeneration - ANS-•Atropine for acute angle-closure glaucoma •Atropine should not be used for acute angle-closure glaucoma. Atropine causes dilation of the pupil, which impedes outflow of aqueous humor and increases intraocular pressure. This action could precipitate or worsen the condition. The nurse is working in an ambulatory care clinic. A client calls to report redness of the sclera, itching of the eyes, and increased lacrimation for several hours. What should the nurse direct the caller to do *first*? •"Please call your health care provider" (e.g., decline to advise). •"Apply a cool compress to your eyes." •"If you are wearing contact lenses, remove them." •"Take an over-the-counter antihistamine." - ANS-•"If you are wearing contact lenses, remove them." •If the client is wearing contact lenses, the lenses may be causing the symptoms, and removing them will prevent further eye irritation or damage. Policies on giving telephone advice vary among institutions, and knowledge of the facility policy is essential. The other options may be appropriate, but additional information is needed before suggesting anything else. At a community health clinic, the nurse is teaching a community group about the prevention of accidental eye injuries. What is the *most* important thing to stress? •Workplace policies for handling chemicals should be followed •Children and parents should be cautious about aggressive play •Protective eyewear should be worn during sports or hazardous work •Emergency eyewash stations should be established in the workplace - ANS-•Protective eyewear should be worn during sports or hazardous work •Most accidental eye injuries (90%) could be prevented by wearing protective eyewear for sports and hazardous work. Other options should be considered in the overall prevention of injuries. A nursing student is assisting an older client who is alert, conversant, and cognitively intact. The client has decreased vision related to macular degeneration. When would the supervising nurse intervene? CONTINUES...