Author Question: A client's canal of Schlemm in the right eye is believed to be blocked. The nurse recognizes that ... (Read 37 times)

xroflmao · **on:** Jul 23, 2018

A client's canal of Schlemm in the right eye is believed to be blocked. The nurse recognizes that the canal of Schlemm is an important structure because it:

1. supports the retina in place.
2. assists the iris in controlling the size of the pupil.
3. produces tears that help lubricate the eye.
4. provides a means for drainage of aqueous humor.

Question 2

What should the nurse instruct a client about acitretin (Soriatane) for psoriasis?

Standard Text: Select all that apply.
1. You will need to be on this medication for 2 to 3 months.
2. The psoriasis may return after discontinuing this medication.
3. At least two negative pregnancy tests are needed before starting this medication.
4. You will need to use birth control for 3 years after discontinuing this drug.
5. Reduce alcohol intake while taking this medication.

matt · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: The vitreous humor is the gel-like substance that helps to maintain the shape of the eyeball and keeps the retina in place.
Rationale 2: The smooth muscle fibers of the iris change the diameter of the pupil.
Rationale 3: The lacrimal apparatus produces tears and helps to protect the eye.
Rationale 4: The canal of Schlemm is an opening in the trabecular meshwork or spongy connective tissue that drains the aqueous humor from the anterior chamber into the venous system.
Global Rationale: The canal of Schlemm is an opening in the trabecular meshwork or spongy connective tissue that drains the aqueous humor from the anterior chamber into the venous system. The vitreous humor is the gel-like substance that helps to maintain the shape of the eyeball and keeps the retina in place. The smooth muscle fibers of the iris change the diameter of the pupil. The lacrimal apparatus produces tears and helps to protect the eye.

Answer to Question 2

Correct Answer: 2, 3, 4, 5
Rationale 1: Two to three months of therapy may be required for significant symptomatic improvement but the client is on the therapy long-term.
Rationale 2: The lesions return soon after therapy is discontinued.
Rationale 3: This medication is teratogenic, and at least two negative pregnancy tests should be obtained before beginning therapy.
Rationale 4: This medication is pregnancy category X, and the client must use birth control for 3 years after discontinuing therapy.
Rationale 5: This medication is highly toxic to the liver, and the client should refrain from drinking any alcohol when taking this medication.
Global Rationale: The lesions return soon after therapy is discontinued. This medication is teratogenic, and at least two negative pregnancy tests should be obtained before beginning therapy; the client must use birth control for 3 years after discontinuing therapy. This medication is highly toxic to the liver, and the client should refrain from drinking any alcohol when taking this medication. Two to three months of therapy may be required for significant symptomatic improvement but the client is on the therapy long-term.