The nurse instructs the client to report systemic effects from the new prescription for eye drops, epinephrine bitartrate (Epitrate). What does the nurse instruct the client to report?
1. Nausea, prolonged vomiting
2. Tachycardia and hypertension
3. Periorbital edema and crusting
4. Reddened, watery, itching eyes
2
2. The nurse instructs the client to report increased heart rate and blood pressure as systemic effects of epinephrine eye drops. Epinephrine bitartrate (Epitrate) is an adrenergic agonist used to decrease production of aqueous humor in the anterior chamber of the eye. If the eye drops reach the systemic circulation, the agonist sti-mulates sympathetic release to increase the heart rate and blood pressure and poten-tially leads to devastating effects for a client with cardiovascular disease.
1. Nausea and vomiting are unusual adverse effects of eye drops.
3 and 4. Edema, crusting, and reddened, watery, itching eyes are localized effects of eye drops or can potentially indicate allergies.
You might also like to view...
The nurse educator is teaching a group of nursing students to assess heart sounds. Which response by a student indicates appropriate understanding of how S2 heart sounds are produced?
1. "It results from the closure of the mitral valve." 2. "It is a result from the closure of the semilunar valves." 3. "It results from the closure of the tricuspid valve." 4. "It is caused by atrial contraction and ejection of blood into the ventricles in late diastole."
A client with bipolar disorder who became hyperactive after discontinuing lithium has not eaten or
slept for 3 days. Mood and behavior are labile, changing rapidly from playful to aggressive. If the client threatens to hit another client or a staff member, which response would constitute an appropriate intervention? a. "Stop that! No one did anything to provoke an attack by you.". b. "If you try that one more time, you will be placed in seclusion immediately.". c. "Do not hit me/him/her. If you are unable to control yourself, we will help you.". d. "You know we will not let you hit anyone! Why do you continue such self-defeating behavior?"
The nurse in the long-term-care clinic is reviewing the charts of a group of children with chronic physical,
psychological,functional and/or social limitations. The nurse recognizes that chronic limitations may result from which of the following? (Select all that apply.) 1. Near drowning 2. Congenital heart defect 3. Pneumonia from hemophilusinfluenzae virusFetal insult when the mothercontracted rubella in the first trimester of pregnancy 5. Sepsis contracted as a neonate
How many different levels of manager are there?
a. 1 b. 3 c. 5 d. 6