Author Question: The nurse is providing teaching for a patient who will begin using tobramycin ointment (Nebcin) 0.5 ... (Read 18 times)

ss2343 · **on:** Jul 23, 2018

The nurse is providing teaching for a patient who will begin using tobramycin ointment (Nebcin) 0.5 inches 3 times daily. The patient currently uses pilocarpine HCl (Isopto Carpine) drops to treat glaucoma.

Which statement by the patient indicates a need for further teaching?
a. I should apply the third dose of tobramycin at bedtime each day.
b. I should instill the drops in the conjunctival sac of the lower eyelid.
c. I should not stop the medications without consulting my provider.
d. I should put the ointment on first and then instill the eyedrops.

Question 2

The nurse administers proparacaine HCl (Ophthaine) drops to a patient prior to an eye examination. What sign will the nurse look for to determine when the examination can begin?

a. Absence of the blink reflex
b. Blurred vision
c. Drying of the corneal epithelium
d. Photophobia

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

Answer to Question 1

ANS: D
Patients using both drops and ointments should instill the drops prior to applying the ointment. Ointments should be applied at bedtime if possible. Drops should be instilled into the conjunctival sac of the lower lid. Patients should always consult with their provider before discontinuing any medication.

Answer to Question 2

ANS: A
Ophthaine is a topical anesthetic for the eye and causes loss of the blink reflex. Drying of the corneal epithelium is a side effect but occurs later as a result of the loss of the blink reflex. Blurred vision and photophobia result from mydriasis and miosis.