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NURS HESI EXIT questions for Patho Exam Answered Questions New Update 2024 Assured Success Graded A+ (answers explained)

NURS  HESI EXIT questions for Patho Exam  Answered Questions New Update 2024 Assured Success Graded A+ (answers explained)

NURS HESI EXIT questions for Patho Exam Answered Questions New Update 2024 Assured Success Graded A+ (answers explained)

1.The nurse will be giving ophthalmic drugs to a patient with glaucoma. Which drug is used to reduce intraocular pressure?
a. tobramycin (Tobrex)
b. bacitracin (AK-Tracin)

c. mannitol (Osmitrol)
d
. ketorolac (Acular)


ANS: C

Drugs used to reduce intraocular pressure include osmotic diuretics such as mannitol. Tobramycin and bacitracin are antibiotics; ketorolac has antiinflammatory actions.

2.The nurse is reviewing the use of ophthalmic preparations. Indications for the direct- and indirect-acting miotic include which condition?


a. Cataracts


b
. Removal of foreign bodies


c. Open-angle glaucoma


d
. Ocular infections


ANS: C

Indications for the direct- and indirect-acting miotic include open-angle glaucoma, angle-closure glaucoma, ocular surgery, and convergent strabismus.

3.A patient has a new prescription for an antiglaucoma eyedrop. The next day, she calls the clinic and states, “The package insert says this medication might make my blue eyes turn brown! Is this true?” The nurse realizes that the patient has a prescription for which eye medication?


a. latanoprost (Xalatan), a prostaglandin agonist
b
. dorzolamide (Trusopt), an ocular carbonic anhydrase inhibitor


c. betaxolol (Betoptic), a direct-acting beta blocker


d
. pilocarpine (Pilocar), a direct-acting cholinergic


ANS: A

There is one unique adverse effect associated with all prostaglandin agonists—in some people with hazel, green, or bluish-brown eye color, eye color will turn permanently brown, even if the medication is discontinued. This adverse effect appears to be cosmetic only, with no known ill effects on the eye. The other medications do not have this effect.

4.The nurse is administering dipivefrin (Propine) eyedrops to a patient who has just started therapy with these drops. What potential systemic effect will the nurse monitor the patient for after this medication is given?


a. Hypotension


b
. Bradycardia


c. Chest pain


d
. Increased heart rate

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