A patient with chronic open-angle glaucoma is being taught to self-administer pilocarpine. After the patient administers the pilocarpine, the patient states that her vision is blurred. Which nursing action is most appropriate?
A) Holding the next dose and notifying the physician
B) Treating the patient for an allergic reaction
C) Suggesting that the patient put on her glasses
D) Explaining that this is an expected adverse effect
Ans: D
Feedback:
Pilocarpine, a miotic drug used to treat glaucoma, achieves its effect by constricting the pupil. Blurred vision lasting 1 to 2 hours after instilling the eye drops is an expected adverse effect. The patient may also note difficulty adapting to the dark. Because blurred vision is an expected adverse effect, the drug does not need to be withheld, nor does the physician need to be notified. Likewise, the patient does not need to be treated for an allergic reaction. Wearing glasses will not alter this temporary adverse effect.
You might also like to view...
A community health clinic put a tax levy on the ballot. An angry man asks a nurse, "How can you ask me to pay taxes to buy immunizations for parents who do not want to pay for their kids to get their shots?"
Which of the following is the most appropriate response by the nurse? a. "Don't you think ethically we should help if we can?" b. "For many of us, our faith says we have to treat our neighbor as ourselves." c. "Only by getting almost everyone immunized can we prevent epidemics that can hurt us all." d. "The law requires childhood immunizations, and, if parents can't afford it, you and I will have to help pay."
Which is a leadership role in delegation?
A) Creating job descriptions for all personnel B) Providing formal recognition or reward for completion of delegated tasks C) Demonstrating sensitivity to how cultural phenomena affect transcultural delegation D) Reprimanding employees who demonstrate overt resistance to delegation
An elderly client with septic leg wounds develops multi-system organ failure. The physicians discuss treatment options with the family but explain that success to reverse the condition is minimal
The family has decided to stop all further treatment of the client. This scenario is an example of: 1. medical futility. 2. do-not-resuscitate. 3. assisted suicide. 4. active euthanasia.
An occupational health nurse is conducting a blood pressure screening. Which of the following clients is at greatest risk of mortality from cardiac disease?
a. Black man with a blood pressure of 130/80 b. Mexican American man with a blood pressure of 110/60 c. White woman with a bold pressure of 120/80 d. Black woman with a blood pressure of 128/78