A nurse is seeing clients in the ophthalmology clinic. Which ...

[JGIBBSON]

A nurse is seeing clients in the ophthalmology clinic. Which client should the nurse see first?
 
  a. Client with intraocular pressure reading of 24 mm Hg
  b. Client who has had cataract surgery and has worsening vision
  c. Client whose red reflex is absent on ophthalmologic examination
  d. Client with a tearing, reddened eye with exudate

Question 2

A client is taking timolol (Timoptic) eyedrops. The nurse assesses the client's pulse at 48 beats/min. What action by the nurse is the priority?
 
  a. Ask the client about excessive salivation.
  b. Assess the client for shortness of breath.
  c. Give the drops using punctal occlusion.
  d. Hold the eyedrops and notify the provider.

[vickyvicksss]

Answer to Question 1

ANS: B
After cataract surgery, worsening vision indicates an infection or other complication. The nurse should see this client first. The intraocular pressure is slightly elevated. An absent red reflex may indicate cataracts. The client who has the tearing eye may have an infection.

Answer to Question 2

ANS: D
The nurse should hold the eyedrops and notify the provider because beta blockers can slow the heart rate. Excessive salivation can occur with cholinergic agonists. Shortness of breath is not related. If the drops are given, the nurse uses punctal occlusion to avoid systemic absorption.

[JGIBBSON]

Thanks for the timely response, appreciate it

[rleezy04]

Excellent