Chapter 53 Otic and Ophthalmic Preparations

A client is diagnosed with springtime allergic conjunctivitis. The nurse predicts the client will be prescribed which otic solution?

Nedocromil

A nurse is caring for a client who is prescribed 1% hydrocortisone/4.71 mg neomycin for bacterial infection of the external auditory canal. Which instructions should the nurse utilize when administering the otic solution?

With the client upright, remove the solution running out of the ear with gauze

A client with chronic open-angle glaucoma has been prescribed brimonidine tartrate. After administering the drug, the nurse should monitor the client for which potential adverse reaction?

Foreign body sensation

The nurse is administering trifluridine to a client with epithelial keratitis. The nurse will prioritize which finding on the ongoing assessment of this client?

Edema of the eyes

A client is admitted to the health care facility with acute glaucoma. After administering the prescribed ophthalmic drugs, the nurse continues to assess the client for pain relief at which frequency?

Every 2 hours

A client receiving ophthalmic drugs reports blurred vision. The client tells the nurse, “I almost fell yesterday.” The nurse will prioritize which nursing diagnosis for this client?

Risk for injury

After teaching a client how to administer eye drops, the nurse determines that additional teaching is needed when the client makes which statement?

“I'll drop the solution into the nasal side of the lower eye sac.”

A client is prescribed two ophthalmic drugs that are to be administered at about the same time each day. The nurse instructs the client to separate the drug administration by which amount of time?

5-10 minutes

After teaching a group of nursing students about various ophthalmic drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a carbonic anhydrase inhibitor?

Brinzolamide

The nurse educates a client about using the prescribed otic 0.5% hydrocortisone, 10,000 units polymyxin B, 4 drops QID in right ear x 10 days. Which client statement determines the need for further clarification?

“I will place the bottle tip into the ear and instill the 4 drops.”

A nurse is preparing to administer otic drops that contain benzocaine, antipyrine, and glycerin. The nurse predicts these drops provide which type of action(s)? Select all that apply.

Emollient, Analgesic, and Local anesthetic

After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the students match which ingredient(s) to its correct action? Select all that apply.

Benzocaine—local anesthetic

Hydrocortisone—corticosteroid

Acetic acid—antimicrobial

A nurse is teaching a client about the use of the otic drops containing 1.4% benzocaine, 5.4% antipyrine, and glycerin. The nurse would point out which possible adverse reaction(s) to the client? Select all that apply.

Irritation, Pruritus, and Burning

A client would like to use carbamide peroxide and asks the nurse if this is okay. The nurse would caution the client to avoid using this product if which situation(s) is present? Select all that apply.

Perforated eardrum, and Ear drainage

The nurse is preparing to administer an otic preparation. Which action(s) would the nurse prioritize during the preadministration assessment? Select all that apply.

Document any drainage, Examine the outer structures, Document description of cerumen, and Examine the skin around the ear

When assessing an infant for a possible ear infection, which behavior(s) would the nurse note? Select all that apply.

Change in behavior, Irritability, Ear tugging, and Fever

The nurse is conducting an assessment on a client who is reporting ear pain. Which factor(s) should the nurse prioritize in the assessment questioning? Select all that apply.

Tinnitus, Feeling of fullness in the ear, Dizziness, and Change in hearing

The nurse is teaching a caregiver how to instill otic drops in a child. The nurse determines the session is successful when the caregiver correctly administers the drops in which manner(s)? Select all that apply.

Warm the solution prior to administration, Straighten the ear canal, and Insert a piece of cotton loosely into the ear.

After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the group correctly chooses which preparation(s) as being used to aid in the removal of cerumen? Select all that apply.

Carbamide peroxide, and Triethanolamine polypeptide

A nurse is teaching a client with glaucoma about the prescribed eye drops. The nurse emphasizes the importance of therapy to prevent which complication(s)? Select all that apply.

Nerve damage, Visual loss, and Blindness

A nurse is preparing to administer an ophthalmic solution to a client who is diagnosed with a bacterial ocular infection. Which drug(s) would the nurse predict will be prescribed? Select all that apply.

Gatifloxacin, and Tobramycin

A nurse is preparing to administer ketorolac. The nurse anticipates noting which ocular problem(s) in the client's record? Select all that apply.

Postoperative pain after cataract surgery, Relief of ocular itching, and During ocular surgery to prevent miosis

The nurse is preparing to teach a client diagnosed with glaucoma about the medication that the primary health care provider has prescribed. Which adverse reaction(s) should the nurse point out in the session? Select all that apply.

Ocular burning, Headache, Tearing, and Blurred vision

The nurse is preparing to administer erythromycin otic to a client. The nurse will question this prescription if which diagnosed eye disorder(s) is noted in the client's medical record? Select all that apply.

Varicella infection, Fungal infection, Epithelial herpes simplex keratitis, and Mycobacterial infection

A client is prescribed an otic agent to promote cerumen removal. Which instruction(s) would the nurse include in the teaching plan? Select all that apply.

Do not use the drug if there is ear drainage, Use the drug for no more than 4 days, and Call your primary health care provider if dizziness occurs

The nurse is caring for a 64-year-old client in a clinic being treated for excessive cerumen with carbamide peroxide. The nurse should report which contraindication(s)? Select all that apply.

Ear drum is perforated, Recent ear surgery, and Reports pain in ears

The nurse is caring for an adult client diagnosed with a left external ear infection. The nurse should perform which ongoing assessment(s) for safe administration of the otic, 1% hydrocortisone, 5 mg neomycin, and 10,000 units polymyxin B? Select all that apply.

Inspect and palpate for increased pain, redness, and Assess if pain and drainage have decreased