JJ Case Continued: [NEW INFORMATION]: JJ was started on an ophthalmic prostaglandin analog after her first visit and has been compliant with therapy. At her 3 month follow-up visit her IOP has not yet reached the desired goal in her right eye. She does not have any additional new medical conditions. She and her eye care provider agree the next step will be to try dual pharmacologic therapy by adding_an agent with a different mechanism of action. Which is the most appropriate new ophthalmic therapy to add to her prior therapy at this time? a. netarsudil (Rhopressa) b. methazolamide oral C. timolol (Timoptic) d. dorzolamide (Trusopt) brimonidine (Alphagan P) e.
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- Roger Forchetta, a 33-year-old male, came in to our ophthalmology office today. I last saw him 6 years ago when he had a corneal ulcer on his right eye. This is now cleared. He states that over the last few weeks, his vision is “a bit off.” I began with a complete, interval history. He denied any specific trauma or problems with his eyes prior to this latest concern. Overall, this patient is a healthy male with an admitted diet filled with a great deal of fast food and restaurant food. His external ocular and adnexal areas were unremarkable, free from injury or infection. The patient has a normal corneal anterior chamber and iris but with very slow dilating pupils. Ophthalmoscopy shows there is no pseudoexfoliation, but there are dense juvenile nuclear cataracts on both eyes, the right greater than the left. I counseled him regarding cataract surgery of this right eye first, and then the left eye; the need for postop correction; a 4- to 6-week recovery time; and the type…A client is receiving ophthalmic drops preoperatively for cataract extraction and asks the nurse why the HCP has prescribed all these meds. Which infomation should the nurse include when responding to the client? (Select all that apply) A. A med is used to induce sleep during the procedureB. The iris must be paralyzed during surgery to prevent it from reacting to light C. Pupillary dilation is necessary to access the eye chamber for lens removal D. These medications assist in obstructing the client's visionE. One of the meds is used to anesthetize the corneal surfaceDirections: Below are terms built from word parts. Analyze each term by listing and defining the word parts used to build it. Medical Term Word Part Meanings 1. adenoiditis 2. laryngoplegia 3. otalgia 4. anosmia 5. pharyngoplasty 6. endotracheal 7. cochlear 8. myringoplasty 9. tracheomegaly 10. dysphonia 11. tympanorrhexis 12. audiogram 13. tympanoplasty 14. epiglottitis arcon Education, Inc.
- CLIENT PROFILE: Mr. Evans is a 73-year-old man who presents to the clinic with complaints of “foggy” vision, headaches, and aching in his eyes. He also reports seeing “rings around lights.” Since his wife’s death two months ago, he states things have not been going well at home. He has not been able to handle the bill payments because of his change in vision and his depression. He is upset and is worried that he will not be able to stay in his home. His children live in another state and have not been home to help him. CASE STUDY: Mr. Evans’s vital signs are temperature 98.18F, blood pressure 172/92, pulse 68, and respiratory rate of 24. Tonometry shows an elevated intraocular pressure of 26 mm Hg. He reports that his peripheral vision is decreased and it is noted in the visual exams by the physician that his optic disk appears pale and the depth and size of the optic cup appears increased. Mr. Evans’s history reveals that his mother also had glaucoma. His neighbor and good friend is…CLIENT PROFILE: Mr. Evans is a 73-year-old man who presents to the clinic with complaints of “foggy” vision, headaches, and aching in his eyes. He also reports seeing “rings around lights.” Since his wife’s death two months ago, he states things have not been going well at home. He has not been able to handle the bill payments because of his change in vision and his depression. He is upset and is worried that he will not be able to stay in his home. His children live in another state and have not been home to help him. CASE STUDY: Mr. Evans’s vital signs are temperature 98.18F, blood pressure 172/92, pulse 68, and respiratory rate of 24. Tonometry shows an elevated intraocular pressure of 26 mm Hg. He reports that his peripheral vision is decreased and it is noted in the visual exams by the physician that his optic disk appears pale and the depth and size of the optic cup appears increased. Mr. Evans’s history reveals that his mother also had glaucoma. His neighbor and good friend is…A client states to the nurse, i am taking a trip by plane and the last time I flew the problems with my ears were awful what suggestion can the nurses provide to nurse provide to alleviate discomfort?
- Develop discharge instructions specific to this case. Mr. Cyron, 40 years old, arrives at the eye clinic for a routine eye exam. He has had a history of NIDDM (Non-insulin-dependent Diabetes Mellitus) for 10 years. He complains of progressive blurring of vision since his last visit a year ago. He is unable to say which eye seems to be worse. He verbalized difficulty in reading street signs while driving. He has no other complaints like eye pain, floaters, or diplopia. He admits that he was going through tough times with disrupted marriage and divorce issues, due to which he was unable to concentrate on his diabetes management. He feels that his recent family disputes and stress have made his blood sugar levels worsen. He tries to cope with stress by overeating and taking in a lot of junk food. He reports missing diabetes medications many times. He has a recent history of hospitalization with diabetic ketoacidosis 3 months back with a blood sugar level of 410 mg/dl on admission. He is…A child has otitis media and needs amoxicillin 50mg/kg, po q6h she is 5kg , amoxicillin available is 750mg per tablespoon. How many ml per dose will the child receive? please explain the steps! thank youHello, Can you please help me with this question? How would you have responded to engagement prompt #1 that occurred in the recorded webinar? Why? PROMPT #1: NCLEX QUESTION The nurse is testing the extraocular eye movements in a client with complaints of eye fatigue? The nurse would implement which assessment techniques to assess for visual abnormalities and Eye muscle weakness. Select all that apply. Visual Acuity using the Snellen Chart Weber Test Cranial Nerves II, III, IV, VI Cranial Nerve I Refer client to ophthalmologist Thank you in advance!