section name header

Question ⬇

Physiological Integrity

leftnavigator11 home rgtnavigator11

39. A common symptom for Sjögren's syndrome, an autoimmune disorder in women, is dry eyes. A client asks a nurse what she can do for relief. Which suggestion given by the nurse would be correct for initial treatment?

Choices

Choices ⬆ ⬇

1. Use artificial tears 3 to 4 times a day.

2. Use cyclosporine A (Restasis) ophthalmic drops.

3. Schedule punctal occlusion.

4. Use pilocarpine drops 3 times a day.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Think conservative treatment initially.

Content Area: Adult Health, Sensory; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes

Go to Choices

Rationale ⬆

Physiological Integrity

leftnavigator11 home rgtnavigator11

1.  

Answer 1 is correct because over-the-counter artificial tears are effective for dry eyes initially. Answer 2 is incorrect because conservative treatment, such as artificial tears, is indicated before use of a prescriptive treatment to increase tear production and reduce inflammation. Answer 3 is incorrect because this would slow the rate of tear drainage and more tears would stay on the eyes. Answer 4 is incorrect because pilocarpine drops are ordered to treat dry mouth, not dry eyes.

Go to Question