Prior to administering a beta blocker to a client with glaucoma, the nurse should assess for which coexisting health problem that would place the client at increased risk of adverse events?

1. Type 2 diabetes mellitus
2. Sleep apnea
3. Cardiovascular disorders
4. Rheumatoid arthritis


Correct Answer: 3
Rationale 1: A client with diabetes would not be adversely affected if prescribed a beta blocker for treatment of glaucoma.
Rationale 2: A client with sleep apnea would not necessarily be adversely affected by beta blockers.
Rationale 3: Beta blockers used to treat glaucoma are minimally absorbed but could cause adverse cardiovascular events such as bradycardia or heart failure and asthma if the beta blocker is not cardioselective.
Rationale 4: Beta blockers would not adversely affect clients with rheumatoid arthritis.
Global Rationale: Beta blockers used to treat glaucoma are minimally absorbed but could cause adverse cardiovascular events such as bradycardia or heart failure and asthma if the beta blocker is not cardioselective. Clients with diabetes, sleep apnea or rheumatoid arthritis will not necessarily be adversely affected by these beta blockers.

Nursing

You might also like to view...

The end of the continuum that is marked by sexual actions harmful to self or others in some manner is known as:

a. Adaptive b. Homosexual c. Maladaptive d. Functional

Nursing

Noise in the critical care unit can have negative effects on the patient. Which of the following interventions assists in reducing noise levels in the critical care setting? (Select all that apply.)

a. Ask the family to bring in the patient's i-Pod or other device with favorite music. b. Invite the volunteer harpist to play on the unit on a regular basis. c. Remodel the unit to have two-patient rooms to facilitate nursing care. d. Remodel the unit to install acoustical ceiling tiles. e. Turn the volume of equipment alarms as low as they can be adjusted, and "off" if possible.

Nursing

The nurse is caring for an immobile patient with chronic, unrelieved pain that is frequently severe. For what potential complication should the nurse monitor?

a. Deep vein thrombosis b. Hypotension c. Dehydration d. Hypoglycemia

Nursing

The nurse is assessing a patient admitted with acute liver failure of unknown etiology. Which statement made by the family requires additional investigation?

1. "I thought her skin color change was due to going to the indoor tanning booth." 2. "She has been exercising by gathering wild berries and greens for salads." 3. "We went to the mall last week and she got pretty tired while shopping." 4. "She was exposed to influenza last week when she went to visit her sister."

Nursing