Following an ophthalmologic exam with dilating drops, a patient calls the clinic to report eye pain and seeing halos around lights. The nurse realizes that this may be narrow-angle glaucoma due to the angle between the iris and cornea being blocked. Which advice should the nurse give to the patient?
A) "This is normal and will go away as the dilating drops wear off."
B) "Have someone drive you to the clinic to be evaluated immediately."
C) "Call the clinic in the morning if these symptoms continue."
D) "Take acetaminophen to relieve the pain."
B) "Have someone drive you to the clinic to be evaluated immediately."
Explanation: A) Usually treated as an emergency, closed-angle glaucoma, also called narrow-angle glaucoma, occurs when the angle between the iris and cornea is blocked. The patient should be seen immediately in the clinic to lower the intraocular pressure through the use of miotic eyedrops, carbonic anhydrase inhibitors, and acetazolamide.
B) Usually treated as an emergency, closed-angle glaucoma, also called narrow-angle glaucoma, occurs when the angle between the iris and cornea is blocked. Symptoms of closed-angle glaucoma include a dilated pupil that does not react to light, a "steamy" looking cornea, redness, and pain. Vomiting and blurred vision in the form of halos and glare around lights may also occur. The patient should be seen immediately in the clinic to lower the intraocular pressure through the use of miotic eyedrops, carbonic anhydrase inhibitors, and acetazolamide.
C) Usually treated as an emergency, closed-angle glaucoma, also called narrow-angle glaucoma, occurs when the angle between the iris and cornea is blocked. The patient should be seen immediately in the clinic to lower the intraocular pressure through the use of miotic eyedrops, carbonic anhydrase inhibitors, and acetazolamide.
D) Usually treated as an emergency, closed-angle glaucoma, also called narrow-angle glaucoma, occurs when the angle between the iris and cornea is blocked. The patient should be seen immediately in the clinic to lower the intraocular pressure through the use of miotic eyedrops, carbonic anhydrase inhibitors, and acetazolamide.
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