The client is scheduled for an eye exam. Prior to the exam the ...

[yoooooman]

The client is scheduled for an eye exam. Prior to the exam the physician will put a cycloplegic drug, atropine sulfate (Isopto Atropine) eyedrops in the client's eyes. What will the nurse teach the client about these eyedrops?
 
  1. The drugs will dilate the pupil and lubricate the eye to provide additional comfort during the examination.
  2. The drops will paralyze the muscles that move the eye so that examination can take place.
  3. The drops will dilate the pupil so that the physician can better visualize the retina during examination.
  4. The drops dilate the pupil and paralyze the ciliary muscle to prevent the lens from moving during examination.

Question 2

A client has lice infestation of the eyelids. What instruction should the nurse provide?
 
  1. Dilute the permethrin lotion with water before applying it to your eyelids.
  2. These lice should be pulled off manually.
  3. Apply a thin coat of petroleum jelly to your eyelashes once a day for a week.
  4. The systemic effect of the lotion you are using on your hair will kill these lice, so no specific treatment is necessary.

[HandsomeMarc]

Answer to Question 1

Correct Answer: 4
Rationale 1: Cycloplegic eyedrops dilate the pupil and paralyze the ciliary muscle; they do not lubricate the eye.
Rationale 2: The drops do not prevent eye movement.
Rationale 3: This is only a partial explanation of the effects of these drops.
Rationale 4: Cycloplegic eyedrops dilate the pupil and paralyze the ciliary muscle. This allows visualization during the exam and also keeps the lens from moving.

Answer to Question 2

Correct Answer: 3
Rationale 1: Permethrin should not be used on the eyelids.
Rationale 2: While removing the lice manually will work, it is not the best solution to the problem.
Rationale 3: The petroleum jelly will kill the lice which can then be removed by combing.
Rationale 4: Specific treatment is necessary.

[yoooooman]

TYSM

[Viet Thy]

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