FINAL N110 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100% RATED PASS
The patient is ordered to take Timolol for the treatment of glaucoma. Before
administration the nurse will educate the patient about this new medication.
Which of the following information is the MOST pertinent the nurse to include?
A. Measuring the heart rate because this medication can cause tachycardia.
B. Performing punctal occlusion after instilling the eye drops.
Timolol is a beta blocker, and it is administered via eye drops for the treatment of
glaucoma.
C. Avoid taking this medication with any other glaucoma medications.
D. Always administer this medication 1 minute before another type of glaucoma
medication.
B. Performing punctal occlusion after instilling the eye drops.
Timolol is a beta blocker, and it is administered via eye drops for the treatment of
glaucoma. It is very important the patient perform punctal occlusion after
instilling the eye drop to prevent systemic effects of the medication. The
medication needs to stay in the eye rather than enter the blood stream. Punctal
occlusion is where the tear duct is blocked with the index finger for about 2-3
minutes. This will prevent the medication from draining down into the
nasolacrimal duct.
,The nurse is teaching a client about a new eyedrop prescription for timolol
(Timoptic) for treatment of open-angle glaucoma. The client has a history of
seasonal allergies and hypertension. What is an important administration
technique to stress for this client?
a. Take any eyedrops for allergies 5 minutes before administering the timolol
drops
b. Do not use the timolol drops while concurrently taking allergy medication.
c. The timolol drops may temporarily worsen seasonal allergies.
d. Gently put pressure on the inner canthus (tear duct) for 1 minute after instilling
the timolol drop.
d. Gently put pressure on the inner canthus (tear duct) for 1 minute after instilling the
timolol drop.
Timolol is a beta-adrenergic blocker. To prevent swallowing and systemic absorption,
pressure should be applied to the inner canthus of the eye for 1 minute after instilling
the drop. Options 1, 2, and 3 are incorrect. No other eyedrops or ointments should be
used when taking timolol or other drops for glaucoma without the approval of the
provider. Eye solutions for allergies may contain adrenergic drugs that may worsen
glaucoma. Timolol is not contraindicated during seasonal allergies. It is not known to
worsen seasonal allergies, although it may cause bronchoconstriction in the sensitive
individual or if swallowed and systemic effects occur.
Which instruction should the nurse include in the teaching plan for the client who
is receiving timolol (Betimol, Timoptic, others) for the treatment of glaucoma?
, a. Monitor your weight daily and report gain of over 2 lb per week.
b. Monitor your body temperature for late afternoon onset of fever.
c. Assess your blood pressure once weekly and report any reading less than
90/60.
d. Monitor your breathing for any periods of shortness of breath.
Assess your blood pressure once weekly and report any reading less than
90/60.Rationale: Systemic side effects of beta-adrenergic agents may include
bronchoconstriction, dysrhythmias, and hypotension. Because of the potential for
systemic side effects, these drugs should be used with caution in clients with asthma,
bradycardia, or heart failure. Clients and their families should be taught to monitor their
pulse and blood pressure. Option 1, 2, and 4 are incorrect. Daily weight, temperature,
and potential for shortness of breath would not need to be stressed in the teaching plan.
A patient is prescribed timolol (Timoptic) for treatment of glaucoma. Which
medical disorders, if discovered during the history and physical, could be a
contraindication to the use of this drug?
a. Heart block
b. Renal disease
c. Liver disease
d. Hyperthyroidism
Answer: a.
Heart blockRationale: Consult with the physician and pharmacist if the client has
second- or third-degree heart block, bradycardia, cardiac failure, CHF, or COPD, as
COMPLETE SOLUTIONS 100% RATED PASS
The patient is ordered to take Timolol for the treatment of glaucoma. Before
administration the nurse will educate the patient about this new medication.
Which of the following information is the MOST pertinent the nurse to include?
A. Measuring the heart rate because this medication can cause tachycardia.
B. Performing punctal occlusion after instilling the eye drops.
Timolol is a beta blocker, and it is administered via eye drops for the treatment of
glaucoma.
C. Avoid taking this medication with any other glaucoma medications.
D. Always administer this medication 1 minute before another type of glaucoma
medication.
B. Performing punctal occlusion after instilling the eye drops.
Timolol is a beta blocker, and it is administered via eye drops for the treatment of
glaucoma. It is very important the patient perform punctal occlusion after
instilling the eye drop to prevent systemic effects of the medication. The
medication needs to stay in the eye rather than enter the blood stream. Punctal
occlusion is where the tear duct is blocked with the index finger for about 2-3
minutes. This will prevent the medication from draining down into the
nasolacrimal duct.
,The nurse is teaching a client about a new eyedrop prescription for timolol
(Timoptic) for treatment of open-angle glaucoma. The client has a history of
seasonal allergies and hypertension. What is an important administration
technique to stress for this client?
a. Take any eyedrops for allergies 5 minutes before administering the timolol
drops
b. Do not use the timolol drops while concurrently taking allergy medication.
c. The timolol drops may temporarily worsen seasonal allergies.
d. Gently put pressure on the inner canthus (tear duct) for 1 minute after instilling
the timolol drop.
d. Gently put pressure on the inner canthus (tear duct) for 1 minute after instilling the
timolol drop.
Timolol is a beta-adrenergic blocker. To prevent swallowing and systemic absorption,
pressure should be applied to the inner canthus of the eye for 1 minute after instilling
the drop. Options 1, 2, and 3 are incorrect. No other eyedrops or ointments should be
used when taking timolol or other drops for glaucoma without the approval of the
provider. Eye solutions for allergies may contain adrenergic drugs that may worsen
glaucoma. Timolol is not contraindicated during seasonal allergies. It is not known to
worsen seasonal allergies, although it may cause bronchoconstriction in the sensitive
individual or if swallowed and systemic effects occur.
Which instruction should the nurse include in the teaching plan for the client who
is receiving timolol (Betimol, Timoptic, others) for the treatment of glaucoma?
, a. Monitor your weight daily and report gain of over 2 lb per week.
b. Monitor your body temperature for late afternoon onset of fever.
c. Assess your blood pressure once weekly and report any reading less than
90/60.
d. Monitor your breathing for any periods of shortness of breath.
Assess your blood pressure once weekly and report any reading less than
90/60.Rationale: Systemic side effects of beta-adrenergic agents may include
bronchoconstriction, dysrhythmias, and hypotension. Because of the potential for
systemic side effects, these drugs should be used with caution in clients with asthma,
bradycardia, or heart failure. Clients and their families should be taught to monitor their
pulse and blood pressure. Option 1, 2, and 4 are incorrect. Daily weight, temperature,
and potential for shortness of breath would not need to be stressed in the teaching plan.
A patient is prescribed timolol (Timoptic) for treatment of glaucoma. Which
medical disorders, if discovered during the history and physical, could be a
contraindication to the use of this drug?
a. Heart block
b. Renal disease
c. Liver disease
d. Hyperthyroidism
Answer: a.
Heart blockRationale: Consult with the physician and pharmacist if the client has
second- or third-degree heart block, bradycardia, cardiac failure, CHF, or COPD, as
