1. A child has been diagnosed with an infection with inflammation in the right ear canal. Which
drug route would be most appropriate for treating this condition?
a. Oral route
b. Topical route
c. Ophthalmic route
d. Intramuscular route
ANS: B
Since the external ear can be reached from the ou...
Chapter 18: Drugs for Ear and Eye Problems
Visovsky: Introduction to Clinical Pharmacology, 9th Edition
MULTIPLE CHOICE
1.A child has been diagnosed with an infection with inflammation in the right ear canal. Which drug route would be most appropriate for treating this condition?
a.Oral route
b.Topical route
c.Ophthalmic route
d.Intramuscular route
ANS:B
Since the external ear can be reached from the outside, infections and inflammation of the pinna and the ear canal are most often managed by topical drug application.
DIF:Cognitive Level: Knowing REF:p. 330
2.You are preparing to instill otic drops into the ear canal of an adult. What is the correct technique for giving otic drugs to an adult?
a.Pull the external ear down and back.
b.Press the pinna against the mastoid bone.
c.Pull the pull the external ear up and back.
d.Press the upper portion of the ear until the eustachian tube is seen.
ANS:C
When instilling eardrops into an adults’ ear, gently pull the external ear up and back.
DIF:Cognitive Level: Applying REF:p. 331
3.A parent tells you that a 4-year-old child has some clear drainage coming from the right ear. This drainage is sometimes tinged with blood. The parent asks if the ear canal should be irrigated. What is your best response?
a.“Use a small amount of sterile saline instilled into the ear to flush out the fluid and blood.”
b.“You may use over-the-counter ear drops in this ear to clear up this new infection.”
c.“The ear will need to be irrigated, and then an antibiotic for the ear instilled.”
d.“The ear should not be irrigated when there is drainage present.”
ANS:D
Never place a drug into the ear canal or irrigate the ear canal if there is drainage present because it could enter the middle ear and cause an infection. The healthcare provider should be notified.
DIF:Cognitive Level: Applying REF:p. 331
4.Which term refers to constriction of the pupil of the eye?
a.Miosis
b.Punctum
c.GlaucomaThis study source was downloaded by 100000812546443 from CourseHero.com on 03-22-2022 08:29:59 GMT -05:00
https://www.coursehero.com/file/35756963/c18rtf/ d.Mydriasis
ANS:A
Miosis means constriction of the pupil; mydriasis means dilation of the pupil; glaucoma is an eye disease that is caused by increased intraocular pressure; and punctum is the opening in the
lower lid that drains tears into systemic circulation.
DIF:Cognitive Level: Remembering REF:p. 333
5.What is the main problem that comes accompanies glaucoma?
a.Cloudiness of the lens
b.Cloudiness of the cornea
c.Increased intraocular pressure
d.Increased intracranial pressure
ANS:C
Glaucoma is a problem related to increased intraocular pressure that can put so much pressure on ocular blood vessels, photoreceptors, and the optic nerve that blindness results. It does not affect the lens, the cornea, or the intracranial pressure.
DIF:Cognitive Level: Remembering REF:p. 334
6.Which drug group for glaucoma has the side effect of darkening the iris color?
a.Adrenergic agonists
b.Beta blockers
c.Cholinergics
d.Prostaglandin agonists
ANS:D
Two side effects of the prostaglandins agonists are making the lashes grow and darkening the iris color, sometimes changing a blue iris to one that appears browner. No other drugs for glaucoma have these side effects.
DIF:Cognitive Level: Remembering REF:p. 335
7.A patient with glaucoma reports a possible infection in the affected eye and asks if the usual dose of latanoprost (Xalatan) drops should be instilled. What is your best response?
a.“Do not take this dose until your healthcare provider is notified.”
b.“Rinse the affected eye with sterile saline and then instill the eye drops.”
c.“You should not put the eye drops in today but can resume them tomorrow.”
d.“Missing a dose of this drug will increase intraocular pressure and worsen your vision.”
ANS:A
Never instill prostaglandin agonists into an eye that has been scratched or has an infection. Contact the healthcare provider for instructions about continuing glaucoma therapy.
DIF:Cognitive Level: Applying REF:p. 336
8.Which drug for glaucoma is a beta blocker?
a.Timolol (Timoptic)
b.Travoprost (Travatan)This study source was downloaded by 100000812546443 from CourseHero.com on 03-22-2022 08:29:59 GMT -05:00
https://www.coursehero.com/file/35756963/c18rtf/
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