Author Question: An older adult patient received an adrenergic eye drop to dilate the pupils for a retinal exam. What ... (Read 49 times)

kfurse · **on:** Jul 23, 2018

An older adult patient received an adrenergic eye drop to dilate the pupils for a retinal exam. What information should the nurse provide when discharging this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Do not drive until the effects of the eye drops have worn off.
2. Wear sunglasses when in bright light.
3. You may be more comfortable in a darkened room.
4. You may experience burning in your eyes for a couple of days.
5. Do not eat or drink anything for at least an hour after discharge.

Question 2

The patient has been recently diagnosed with hypertension. Assessment data include Wt: 200 pounds Ht: 5' 4 Diet: Mostly starches Alcohol intake: 3 beers/week Stressors: Works 60 hours/week In planning care with this patient, what is the priority outcome?

1. Patient will eliminate alcohol from the diet.
2. Patient will decrease stress by limiting work to 40 hours/week.
3. Patient will balance diet according to the food pyramid.
4. Patient will achieve and maintain optimum weight.

jesse.fleming · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,2,3
Rationale 1: Older adults may notice blurring of vision after receiving drops to dilate the eyes. The patient should not drive until vision is clear.
Rationale 2: Photosensitivity is a common effect, and protective eyewear should be worn.
Rationale 3: Photosensitivity is a common effect, and the patient may be more comfortable in a darkened room or with a soft cloth covering the eyes.
Rationale 4: The burning associated with these drops should be transient. It should not last for a couple of days.
Rationale 5: There is no reason for the patient to be NPO.

Global Rationale: Older adults may notice blurring of vision after receiving drops to dilate the eyes. The patient should not drive until vision is clear. Photosensitivity is a common effect, and the patient may be more comfortable in a darkened room or with a soft cloth covering the eyes. Protective eyewear should be worn in bright light. The burning associated with these drops should be transient. It should not last for a couple of days. There is no reason for the patient to be NPO.

Answer to Question 2

4
Rationale 1: Eliminating alcohol is important but not the priority outcome.
Rationale 2: Decreasing stress is important but not the priority outcome.
Rationale 3: A balanced diet is important but not the priority outcome.
Rationale 4: Achieving and maintaining optimum weight is of greatest importance when a patient has hypertension. For obese patients, a 10 to 20 pound weight loss can produce a measurable change in blood pressure.
Global Rationale: Achieving and maintaining optimum weight is of greatest importance when a patient has hypertension. For obese patients, a 10 to 20 pound weight loss can produce a measurable change in blood pressure. A balanced diet is important but not the priority outcome. Decreasing stress is important but not the priority outcome. Eliminating alcohol is important but not the priority outcome.