Question 1

A patient with an eye injury requires an ocular examination to detect the presence of a foreign body.Which drug is used for this examination?

Accepted Answer

A) dapiprazole 
B) fluorescein sodium (AK-Fluor) 
C) atropine sulphate 
D) cromolyn sodium 
A) dapiprazole 
B) fluorescein sodium (AK-Fluor) 
C) atropine sulphate 
D) cromolyn sodium B

Question 2

Which drug is used to reduce intraocular pressure?

Accepted Answer

A) cromolyn (Opticrom) 
B) polypeptides 
C) osmotic diuretics 
D) hyperosmolar sodium chloride 
A) cromolyn (Opticrom) 
B) polypeptides 
C) osmotic diuretics 
D) hyperosmolar sodium chloride C

Question 3

Which condition is an indication for the use of direct- and indirect-acting miotics?

Accepted Answer

A) Ocular infections 
B) Blurred vision 
C) Open-angle glaucoma 
D) Cataracts 
A) Ocular infections 
B) Blurred vision 
C) Open-angle glaucoma 
D) Cataracts C

Question 4

A patient is being treated for uveitis.Which drug does the nurse expect that the patient is using?

Accepted Answer

A) atropine sulphate 
B) epinephrine 
C) acetylcholine (Miochol 
E)  
D) cyclopentolate hydrochloride solution (Cyclogyl) 
A) atropine sulphate 
B) epinephrine 
C) acetylcholine (Miochol 
E)  
D) cyclopentolate hydrochloride solution (Cyclogyl)

Question 5

The nurse is administering ophthalmic drops.Identify the correct administration steps and place them in the correct order.Not all steps will be used.

Accepted Answer

A) Thoroughly shake the solution. 
B) Close the eye tightly. 
C) Apply gentle pressure to the inner canthus for 1 minute. 
D) Place the drop into the conjunctival sac. 
E) Place the drops onto the cornea.
F)Clean debris from the eye with a cotton-tipped applicator.
G)Have the patient tilt the head back and look up at the ceiling.
H)Remove excess medication gently from around the eyes. 
A) Thoroughly shake the solution. 
B) Close the eye tightly. 
C) Apply gentle pressure to the inner canthus for 1 minute. 
D) Place the drop into the conjunctival sac. 
E) Place the drops onto the cornea.
F)Clean debris from the eye with a cotton-tipped applicator.
G)Have the patient tilt the head back and look up at the ceiling.
H)Remove excess medication gently from around the eyes.

Question 6

A patient has been taking the corticosteroid dexamethasone (AK Dex)but has developed bacterial conjunctivitis.The patient is given a prescription for gentamicin (Diogent)ointment.What interaction is possible if the two drugs are used concurrently?

Accepted Answer

A) The infection may become systemic. 
B) The effects of the gentamicin may become more potent. 
C) The corticosteroid may cause the overgrowth of nonsusceptible organisms. 
D) Immunosuppression may make elimination of the eye infection more difficult. 
A) The infection may become systemic. 
B) The effects of the gentamicin may become more potent. 
C) The corticosteroid may cause the overgrowth of nonsusceptible organisms. 
D) Immunosuppression may make elimination of the eye infection more difficult.

Question 7

A patient has been prescribed timolol maleate (Timoptic)eye drops.What should the nurse tell the patient to do to apply these eye drops properly?

Accepted Answer

A) Apply the drops into the conjunctival sac instead of directly onto the eye. 
B) Apply the drops directly to the cornea for the best effectiveness. 
C) Blot the eye with a tissue immediately after applying the drops. 
D) Gently touch the tip of the dropper to the eye surface before administering the drop. 
A) Apply the drops into the conjunctival sac instead of directly onto the eye. 
B) Apply the drops directly to the cornea for the best effectiveness. 
C) Blot the eye with a tissue immediately after applying the drops. 
D) Gently touch the tip of the dropper to the eye surface before administering the drop.

Question 8

Although dipivefrin has localized effects in the eye,it mimics the effects of the sympathetic nervous system neurotransmitters and can cause systemic effects.Which systemic effects can occur?

Accepted Answer

A) Dizziness and syncope 
B) Bradycardia or heart block 
C) Dry mouth and constipation 
D) Increased heart rate or blood pressure 
A) Dizziness and syncope 
B) Bradycardia or heart block 
C) Dry mouth and constipation 
D) Increased heart rate or blood pressure

Question 9

Which medication is used for local anaesthesia in preparation for ocular surgery?

Accepted Answer

A) glycerin 
B) tetracaine (Minims) 
C) acetazolamide 
D) apraclonidine 1% (Iopidine) 
A) glycerin 
B) tetracaine (Minims) 
C) acetazolamide 
D) apraclonidine 1% (Iopidine)

Exam 57: Ophthalmic Drugs

A patient with an eye injury requires an ocular examination to detect the presence of a foreign body.Which drug is used for this examination?

Which drug is used to reduce intraocular pressure?

Which condition is an indication for the use of direct- and indirect-acting miotics?

A patient is being treated for uveitis.Which drug does the nurse expect that the patient is using?

The nurse is administering ophthalmic drops.Identify the correct administration steps and place them in the correct order.Not all steps will be used.

A patient has been taking the corticosteroid dexamethasone (AK Dex)but has developed bacterial conjunctivitis.The patient is given a prescription for gentamicin (Diogent)ointment.What interaction is possible if the two drugs are used concurrently?

A patient has been prescribed timolol maleate (Timoptic)eye drops.What should the nurse tell the patient to do to apply these eye drops properly?

Although dipivefrin has localized effects in the eye,it mimics the effects of the sympathetic nervous system neurotransmitters and can cause systemic effects.Which systemic effects can occur?

Which medication is used for local anaesthesia in preparation for ocular surgery?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Otic Drugs

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