A client with a long history of glaucoma has been using Timoptic ...

[audragclark]

A client with a long history of glaucoma has been using Timoptic to manage the condition for the past 3 years.
 
  At a routine physical, which of the following assessment findings indicates the onset of potential problematic adverse effects associated with the medication? 1. Reduced urinary output
   2. Excessive salivation
   3. Diarrhea
   4. Heart rate less than 57 beats per minute

Question 2

A nurse is writing a care plan for a client recently diagnosed with HIV. The client admits to being sexually active and states he will remain sexually active. Which would be a priority nursing diagnosis for this client?
 
  1. Deficient Knowledge related to preventing transmission of HIV
   2. Risk for Infection related to immunodeficiency
   3. Death Anxiety
   4. Social Isolation related to fear of AIDS

[itsakadoozi]

Answer to Question 1

4. Heart rate less than 57 beats per minute

Rationale:
The onset of bradycardia must be evaluated. Timoptic is a beta-blocker. It is associated with bradycardia in some clients. Reduced urinary output is associated with the use of carbonic anhydrase inhibitors. Excessive salivation and diarrhea is associated with the use of miotic medications.

Answer to Question 2

1. Deficient Knowledge related to preventing transmission of HIV

Rationale:
All options are potential nursing diagnoses for this client. Deficient knowledge related to preventing transmission of HIV would be the priority diagnosis for this client due to his statement of wanting to remain sexually active.

[audragclark]

Thank you!

[itsakadoozi]

Always glad to help...