When the nurse shines a penlight into the eyes of a patient who is prescribed brimonidine (Alphagan P), the pupils of both eyes remain equally dilated. What is the nurse's best action?
a. Document the response as the only action.
b. Hold the next dose and notify the prescriber.
c. Assess the patient's hand grasp strength bilaterally.
d. Remind the patient to wear sunglasses when outdoors.
D
Brimonidine is an adrenergic agonist. It causes pupils to dilate even when plenty of light is present. This is an expected response, not an adverse reaction, and does not indicate true neuro-logic changes. However, the patient should protect his or her eyes from excessive light by wear-ing sunglasses when outdoors or in any brightly lit environment.
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