Author Question: A patient has received phenylephrine for measurement of refraction. The nurse provides education ... (Read 38 times)

imowrer · **on:** Jul 23, 2018

A patient has received phenylephrine for measurement of refraction. The nurse provides education about the adverse effects associated with phenylephrine. Which statement made by the patient demonstrates a need for further teaching?

a. I may experience ocular pain.
b. I may experience cloudy vision.
c. My brows may ache.
d. My sinuses may be inflamed.

Question 2

The nurse at an ophthalmologist's office is training a new nurse. They care for a patient who has just received fluorescein. Which statement or statements by the new nurse best demonstrate understanding of fluorescein? (Select all that apply.)

a. It may cause nausea and vomiting.
b. It is used to inspect the pupils for regularity.
c. It is used to inspect the cornea for lesions.
d. It may cause bradycardia.
e. It may cause pruritus.

Ptupou85 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Inflamed sinuses are not an adverse effect of phenylephrine; further teaching is required.
Adverse effects associated with phenylephrine are ocular pain, corneal clouding, and brow ache; no further teaching is needed.

Answer to Question 2

ANS: A, C, E
Fluorescein may cause nausea and vomiting; it is used to inspect the cornea for lesions; and it may cause pruritus. Nausea, vomiting, and pruritus are adverse effects of the drug.
Fluorescein is not used to inspect the pupils for regularity. This can be done with a pen light.
Fluorescein does not cause bradycardia. Bradycardia is associated with beta blockers.