The nurse practitioner is treating a clinic patient who has been diagnosed with open-angle glaucoma. The prescriber orders pilocarpine (Pilocar)
What question about the health history would it be most pertinent for the nurse to ask prior to administering the eye drops? "Do you have a history of
a. asthma?"
b. rapid heart rate?"
c. GERD?"
d. migraines?"
ANS: A
The nurse should ask whether the patient has a history of asthma. Caution should be exercised in patients with asthma or bradycardia, because bronchospasm or bradycardia may worsen as a result of the systemic parasympathomimetic effects of pilocarpine. However, these systemic effects are rare.
The systemic effect, although rare, would be bradycardia not tachycardia.
GERD and migraines are not contraindications to pilocarpine.
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