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Chapter 57: Ophthalmic Drugs
1. The nurse will be giving ophthalmic drugs to a patient with glaucoma. Which
drug is used to reduce intraocular pressure?
a. tobramycin (Tobrex)
b. bacitracin (AK-Tracin)
c. mannitol (Osmitrol)
d
. ketorolac (Acular)
ANS: C
Drugs used to reduce intraocular pressure include osmotic diuretics such
as mannitol. Tobramycin and bacitracin are antibiotics; ketorolac has
antiinflammatory actions.
2. The nurse is reviewing the use of ophthalmic preparations. Indications for
the direct- and indirect-acting miotic include which condition?
NURS 401 Misc. questions for Patho Exam 3 Answered
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a. Cataracts
b
. Removal of foreign bodies
c. Open-angle glaucoma
d
. Ocular infections
ANS: C
Indications for the direct- and indirect-acting miotic include :open-angle :glaucoma,
angle-closure:glaucoma, :ocular :surgery, :and :convergent :strabismus.
:
NURS 401 Misc. questions for Patho Exam 3 Answered
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3. A :patient :has :a :new :prescription :for :an :antiglaucoma :eyedrop. :The :next :day, :she
: calls :the :clinic :and :states, :“The :package :insert :says :this :medication :might :make
: my :blue :eyes :turn :brown! :Is :this :true?” :The :nurse :realizes :that :the :patient :has :a
: prescription :for :which :eye :medication?
a. : latanoprost :(Xalatan), :a :prostaglandin :agonist
b
. dorzolamide :(Trusopt), :an :ocular :carbonic :anhydrase :inhibitor
c. : betaxolol :(Betoptic), :a :direct-acting :beta :blocker
d
. pilocarpine :(Pilocar), :a :direct-acting :cholinergic
ANS: :A
NURS 401 Misc. questions for Patho Exam 3 Answered
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There :is :one :unique :adverse :effect :associated :with :all :prostaglandin :agonists—in
some :people :with :hazel, :green, :or :bluish-brown :eye :color, :eye :color :will :turn
:
permanently :brown, :even :if :the:medication :is :discontinued. :This :adverse :effect
:
appears :to :be :cosmetic :only, :with :no :known :ill :effects :on :the :eye. :The :other
:
: medications :do :not :have :this :effect.
4. The :nurse :is :administering :dipivefrin :(Propine) :eyedrops :to :a :patient :who
has :just :started :therapy :with :these :drops. :What :potential :systemic :effect :will
:
the :nurse :monitor :the :patient :for:after :this :medication :is :given?
:
a. : Hypotension
b
. Bradycardia
c. : Chest :pain
NURS 401 Misc. questions for Patho Exam 3 Answered
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