A client has received pilocarpine (Isopto Carpine) drops in both eyes. When assessing this client, the nurse will anticipate which reaction?
1. Unequal pupil shape
2. Dilated pupils
3. Constricted pupils
4. Improved distance vision
Correct Answer: 3
Rationale 1: A small percentage of individuals have unequal pupils normally. Pilocarpine would not cause the pupils to vary in shape.
Rationale 2: Pilocarpine is a cholinergic agonist and does not dilate the pupils.
Rationale 3: Pilocarpine is a cholinergic agonist and constricts the pupils.
Rationale 4: Pilocarpine does not improve distance vision.
Global Rationale: Pilocarpine is a cholinergic agonist and constricts the pupils. A small percentage of individuals have unequal pupils normally. Pilocarpine would not cause the pupils to vary in shape. It does not improve distance vision.
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