The client complains of blurry vision after using pilocarpine (IsoptoCarpine). Which explanation about the blurry vision is most appropriate by the nurse?
1. "This is a common reaction, but should be temporary."
2. "Use only half the dose, and monitor the results."
3. "I will have the physician prescribe something different for you."
4. "You have an allergy, and should stop using the drops."
1
Rationale 1:Miotic agents such as pilocarpine(IsoptoCarpine) produce various responses in the eye, including dilation of the trabecular meshwork so that the canal of Schlemm can absorb more aqueous humor, thus decreasing intraocular pressure. Side effects are temporary, and include cycloplegia.
Rationale 2:"Use only half the dose, and monitor the results" is incorrect. Side effects are temporary, and include cycloplegia.
Rationale 3:"I will have the physician prescribe something different for you" is incorrect. Side effects are temporary, and include cycloplegia.
Rationale 4:"You have an allergy, and should stop using the drops" is incorrect. Side effects are temporary, and include cycloplegia.
Global Rationale: Miotic agents such as piocarpine(IsoptoCarpine) produce various responses in the eye, including dilation of the trabecular meshwork so that the canal of Schlemm can absorb more aqueous humor, thus decreasing intraocular pressure. Side effects are temporary, and include cycloplegia.
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ANS:
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The student nurse asks the nursing instructor why drug plateaus occur with medications. What are the best responses by the nursing instructor? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "It could be that all of the receptors for the drug are occupied." 2. "It may mean that the drug has brought 100% relief to the patient." 3. "It means that the patient has developed resistance and needs another drug." 4. "It probably means that the drug is losing efficacy." 5. "It means that the patient needs a higher dose of the drug."