During an eye assessment, the nurse asks about a client's use of ...

[bobbysung]

During an eye assessment, the nurse asks about a client's use of eye medications, recognizing that many of them can affect which body systems?
 
  1. Cardiovascular and respiratory
  2. Gastrointestinal and endocrine
  3. Endocrine and digestive
  4. Urinary and reproductive

Question 2

A client with chronic, open-angle glaucoma should be instructed by the nurse to:
 
  1. use over-the-counter medications for eye pain.
  2. use mild boric acid solution to irrigate the eyes periodically.
  3. avoid over-the-counter cold or allergy medications.
  4. sleep with the head of the bed elevated to reduce eye pressure.

[rnehls]

Answer to Question 1

Answer: 1

1. Systemic absorption of various eye medications can have adverse effects. Sympathomimetic drugs can increase blood pressure and cause irregular pulse rates or chest pain. Beta blockers can exacerbate COPD, asthma, and heart failure.
2. Eye medication is not known to affect the gastrointestinal or endocrine systems.
3. Eye medication is not known to affect the endocrine and digestive systems.
4. Eye medication is not known to affect the urinary and reproductive systems.

Answer to Question 2

Answer: 3

1. Chronic glaucoma is painless.
2. Irrigations are not necessary.
3. Over-the-counter preparations have sympathomimetic action, causing pupil dilation, which blocks the trabecular meshwork and flow of aqueous humor, leading to increased intraocular pressure.
4. Sleep position won't affect the eye pressure associated with glaucoma.

[bobbysung]

Thank you

[rnehls]

Happy to help you