C HAPTER 57: O PHTHALMIC D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient is about to undergo ocular surgery. The preoperative nurse
anticipates that which drug will be used for local anesthesia?
a. Oral gl ycerin
b. Proparacaine eye drops
c. Timolol eye drops
d. Dipivefrin eye drops
ANS: B
Proparacaine and tetracaine are used as a local anesthetic for ocular
surgery or other procedures. The other drugs are used for glaucoma.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient with an eye injury requires an ocular examination to detect the
presence of a foreign body. The nurse anticipates that which drug will be
used for this examination?
a. Phenylephrine
b. Fluorescein so dium
c. Atropine sulfate
d. Olopatadine
, ANS: B
Fluorescein sodium is an ophthalmic diagnostic dye used to identify
corneal defects and to locate foreign objects in the eye. Phenylephrine
is an ocular decongestant; atropine sulfate has m ydriatic and
cycloplegic effects, which are useful for examining the inner eye
structures; olopatadine is an ophthalmic antihistamine.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. The nurse is administering antibiotic eyedrops to a patient for the first
time. After the first drop is given, the patient states, “That eyedrop is
making m y eye sting! Is that normal? ” Which is the best response by the
nurse?
a. “That is unusual. Let me rinse the medication from your eye. ”
b. “Sometimes these eyedrops may cause burning and stinging, but it
should go away soon. ”
c. “These may be serious side effects, so I will notify your doctor
before the next dose is due. ”
d. “Let’s wait and see if th ese effects happen the next time you receive
these drops.”
ANS: B
Ocular antibiotics may cause local inflammation, burning, stinging,
urticaria, and dermatitis. These effects are transient. The other options
are incorrect.
DIF: Cognitive Level: Appl ying ( Application)
TOP: Nursing Process: Implementation
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient is about to undergo ocular surgery. The preoperative nurse
anticipates that which drug will be used for local anesthesia?
a. Oral gl ycerin
b. Proparacaine eye drops
c. Timolol eye drops
d. Dipivefrin eye drops
ANS: B
Proparacaine and tetracaine are used as a local anesthetic for ocular
surgery or other procedures. The other drugs are used for glaucoma.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient with an eye injury requires an ocular examination to detect the
presence of a foreign body. The nurse anticipates that which drug will be
used for this examination?
a. Phenylephrine
b. Fluorescein so dium
c. Atropine sulfate
d. Olopatadine
, ANS: B
Fluorescein sodium is an ophthalmic diagnostic dye used to identify
corneal defects and to locate foreign objects in the eye. Phenylephrine
is an ocular decongestant; atropine sulfate has m ydriatic and
cycloplegic effects, which are useful for examining the inner eye
structures; olopatadine is an ophthalmic antihistamine.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. The nurse is administering antibiotic eyedrops to a patient for the first
time. After the first drop is given, the patient states, “That eyedrop is
making m y eye sting! Is that normal? ” Which is the best response by the
nurse?
a. “That is unusual. Let me rinse the medication from your eye. ”
b. “Sometimes these eyedrops may cause burning and stinging, but it
should go away soon. ”
c. “These may be serious side effects, so I will notify your doctor
before the next dose is due. ”
d. “Let’s wait and see if th ese effects happen the next time you receive
these drops.”
ANS: B
Ocular antibiotics may cause local inflammation, burning, stinging,
urticaria, and dermatitis. These effects are transient. The other options
are incorrect.
DIF: Cognitive Level: Appl ying ( Application)
TOP: Nursing Process: Implementation
