A patient has had dilation of the eyes with an anticholinergic agent. What will the nurse say when preparing this patient to go home after the examination?
a. "Systemic side effects will not occur with this agent."
b. "You may experience an increased heart rate, but this is a harmless side effect."
c. "You may need to wear dark glasses until this medication wears off."
d. "You will be able to read as soon as the exam is completed."
C
Because the agent causes cycloplegia, which paralyzes the iris sphincter, the eyes are unable to respond to bright light, so patients should be advised to wear sunglasses until this effect wears off. Systemic side effects do occur with these agents. Tachycardia is a systemic effect and may indicate toxicity. Mydriasis is an effect of this drug, causing the eye to be unable to focus; pa-tients will have blurred vision until this effect wears off.
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