Author Question: A nurse is providing care to a client who is receiving an ophthalmic cholinergic drug. When ... (Read 59 times)

nummyann · **on:** Jul 23, 2018

A nurse is providing care to a client who is receiving an ophthalmic cholinergic drug. When reviewing the client's medical history, which of the following, if found, would the nurse identify as a contraindication?

A) Cataracts
B) Diabetic retinopathy
C) Megacolon
D) Corneal abrasion

Question 2

The nurse is developing a teaching plan for a client who is receiving outpatient therapy with a cholinergic drug. Which of the following would be appropriate for the nurse to include?

A) Instructions to avoid fiber-rich food during therapy
B) Importance of adopting a self-monitoring blood pressure program
C) Review of the purpose of the drug therapy with the client and family
D) Evaluation of the client's previous history of disorders

leannegxo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
The nurse should know that ophthalmic cholinergic drugs are contraindicated in clients with corneal abrasions. The use of ophthalmic cholinergic drugs is not contraindicated in clients with cataracts, diabetic retinopathy, or megacolon. Cholinergic drugs are used cautiously in clients with megacolon.

Answer to Question 2

Ans: C
Feedback:
The nurse should review the purpose of the drug therapy with the client and family when developing a teaching plan for a client receiving outpatient therapy with a cholinergic drug. Instructing the client to avoid fiber-rich food during therapy, suggesting the client adapt a self-monitoring blood pressure program, and evaluating the client's previous history of disorders would be inappropriate to include in the teaching plan.