The mother of an adolescent client says to the nurse, "I think my son is staying up too late studying, and I see him using Visine eye drops all the time for his red eyes
Should I have his vision checked?" Which response by the nurse is the most appropriate?
1. "It sounds like he could be smoking marijuana, and I would talk to him."
2. "Yes, that is a great idea, he might need some glasses."
3. "Sounds like he is using cocaine; I have seen this before."
4. "He might be depressed; insomnia is common with depression."
Correct Answer: 1
Rationale 1: One hallmark symptom of marijuana use is red or bloodshot eyes, caused by dilation of blood vessels. Visine constricts the blood vessels of the eyes, reducing the redness. It is important for the parent to discuss this with the adolescent.
Rationale 2: Having the adolescent's eyes checked might indicate that the mother is in denial, and that the nurse needs to be more alert to the signs and symptoms of drug abuse.
Rationale 3: Red or bloodshot eyes are not commonly seen with cocaine abuse but are seen with marijuana use.
Rationale 4: Depression in this client is possible, but depressed clients do not always have red eyes and do not commonly use Visine eye drops.
Global Rationale: One hallmark symptom of marijuana use is red or bloodshot eyes, caused by dilation of blood vessels. Visine constricts the blood vessels of the eyes, reducing the redness. It is important for the parent to discuss this with the adolescent. Having the adolescent's eyes checked might indicate that the mother is in denial, and that the nurse needs to be more alert to the signs and symptoms of drug abuse. Red or bloodshot eyes are not commonly seen with cocaine abuse but are seen with marijuana use. Depression in this client is possible, but depressed clients do not always have red eyes and do not commonly use Visine eye drops.
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