Which discharge instruction will the nurse include for a patient sent home from the clinic who is taking an adrenergic ophthalmic solution for an acute inflammation?
a. Headaches and eye pain are adverse effects to be reported to the health care provider immediately.
b. Mouth dryness should be reported immediately.
c. Avoid driving or operating machinery until blurring subsides.
d. "Halos" or yellow rings around objects will be seen while taking this medication.
ANS: C
Adrenergic agents cause the smooth muscle of the ciliary body and iris to relax, producing mydriasis. Blurred vision will temporarily occur until the patient can adjust to the increased light coming into the eyes. Activities such as driving or operating machinery should be avoided until vision stabilizes. Sunglasses help reduce the brightness. These are common, mild adverse effects and usually resolve with continued therapy. Mouth dryness is a common adverse effect. Halos are a sign of acute closed-angle glaucoma.
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