A client with glaucoma is prescribed bimatoprost (Lumigan). What ...

[ETearle]

A client with glaucoma is prescribed bimatoprost (Lumigan). What should the nurse instruct the client about this medication? (Select all that apply.)
 
  1. Expect the iris to darken
  2. Instill the medication at bedtime
  3. Expect redness and eye pain to occur
  4. Expect the vision to blur after administering
  5. Expect the skin around the eyelids to darken permanently

Question 2

A client phones into the physician's office and reports that an insect has flown into his ear and asks the nurse what should be done to remove it. What should the nurse instruct the client to do?
 
  1. Attempt to remove the insect with a cotton-tipped applicator that has been dipped in hydrogen peroxide.
  2. Instill mineral oil into the ear canal and try to gently remove insect with tweezers.
  3. Irrigate the ear with water to flush out the insect.
  4. Apply Vaseline to smother and kill the insect.

[bdobbins]

Answer to Question 1

Answer: 1, 2, 4, 5

1. Bimatoprost (Lumigan) causes the iris to darken.
2. Bimatoprost (Lumigan) should be administered at bedtime.
3. Eye pain and redness should be reported to the physician.
4. Bimatoprost (Lumigan) causes the vision to blur.
5. Bimatoprost (Lumigan) causes the skin around the eyelids to permanently darken. This is harmless.

Answer to Question 2

Answer: 2

1. Cotton-tipped applicators can push the insect further into the ear canal.
2. Mineral oil helps to immobilize the insect, making removal easier.
3. Water can cause the insect to swell, making removal more difficult.
4. Vaseline would be difficult to insert.