A nurse in an ophthalmology clinic instills an anticholinergic agent into a patient's eyes. The nurse provides teaching when the patient asks the reason for the drops. Which statement by the patient indicates a need for further teaching?
a. "The drops help prevent my lenses from moving during the exam."
b. "The drops will cause me to have blurred vision and sensitivity to light."
c. "These drops allow the ophthalmologist to see inside my eyes."
d. "This medication anesthetizes my eyes so that the exam won't be painful."
D
Anticholinergic agents are used to provide mydriasis and cycloplegia. They do not affect the sensation of pain and do not provide anesthesia. Cycloplegia refers to paralysis of the ciliary muscle and prevents the lens from moving during the exam. The desired effects, which facilitate eye examinations, do not allow the eye to focus or to respond to light, so blurred vision and pho-tophobia occur. Mydriasis prevents the iris sphincter from contracting, allowing the examiner to see inside the eye.
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