A client with a history of asthma is being treated for glaucoma. ...

[Redwolflake15]

A client with a history of asthma is being treated for glaucoma. The nurse realizes that which of the following medications would be contraindicated for this client?
 
  1. Bimatoprost
   2. Betaxolol
   3. Apraclonidine
   4. Acetazolamide

Question 2

A client tells the nurse that she and her husband are planning to start a family soon. The nurse should provide which of the following information to the client to ensure healthy sensory functioning of the newborn?
 
  1. Testing for syphilis and rubella
   2. Importance of ingesting zinc
   3. The need to limit vitamin A intake
   4. Avoiding foods high in folic acid

[lin77x]

Answer to Question 1

2. Betaxolol

Rationale:
Betaxolol is a beta-adrenergic blocker and is contraindicated for treatment of glaucoma in patients with asthma. Bimatoprost, apraclonidine, and acetazolamide are not contraindicated in a client with a history of asthma.

Answer to Question 2

1. Testing for syphilis and rubella

Rationale:
Women who are considering pregnancy should be advised of the importance of testing for syphilis and rubella, both of which can cause hearing impairments in newborns. Zinc is not known to prevent sensory impairments in newborns. Limiting vitamin A and avoiding foods high in folic acid could lead to developmental deficits in the newborn and should not be recommended to the client.