The client tells the nurse that when he uses his timolol ...

[MirandaLo]

The client tells the nurse that when he uses his timolol (Timoptic) eyedrops, they sting his eyes. What is the best response by the nurse?
 
  1. Hold the next dose and contact your physician.
  2. This is a normal and expected effect of the drops.
  3. Your eyedrops may have expired; check the date.
  4. You should wash your eyes immediately with saline.

Question 2

Which statements would the nurse interpret as indicating that the client understands the diagnosis of open-angle glaucoma?
 
  1. My eye cannot drain the fluid that it produces.
  2. One of the first signs of this is pain behind my eyes.
  3. My type of glaucoma is a medical emergency.
  4. This is a gradual process; it may take years to develop.
  5. This is the most common kind of glaucoma.

[millet]

Answer to Question 1

Correct Answer: 2
Rationale 1: The physician does not need to be contacted; stinging is a normal effect of the eyedrops.
Rationale 2: It is normal for eyedrops to cause stinging when used.
Rationale 3: The drops should cause stinging; it means they have not expired.
Rationale 4: Washing the eye with saline will dilute the eyedrops; this is not recommended.

Answer to Question 2

Correct Answer: 1,4,5
Rationale 1: In cases of open-angle glaucoma, the cause for the high pressure is an imbalance in the production and drainage of fluid in the eye (aqueous humor).
Rationale 2: With open-angle glaucoma the person will have no warning sign, or hint that anything is wrong.
Rationale 3: Closed-angle glaucoma, not open-angle glaucoma, is a medical emergency.
Rationale 4: Open-angle glaucoma often takes years to develop.
Rationale 5: Open-angle glaucoma is the most common type of glaucoma.