A client with a long history of glaucoma has been using Timoptic to manage the condition for the past 3 years

At a routine physical, which of the following assessment findings indicates the onset of potential problematic adverse effects associated with the medication? 1. Reduced urinary output
2. Excessive salivation
3. Diarrhea
4. Heart rate less than 57 beats per minute


4. Heart rate less than 57 beats per minute

Rationale:
The onset of bradycardia must be evaluated. Timoptic is a beta-blocker. It is associated with bradycardia in some clients. Reduced urinary output is associated with the use of carbonic anhydrase inhibitors. Excessive salivation and diarrhea is associated with the use of miotic medications.

Nursing

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