The client complains of blurry vision after using pilocarpine hydrochloride (Isopto Carptine). Which explanation about the blurry vision is most appropriate by the nurse?
1. "This is a common reaction, but should be temporary."
2. "Use only half the dose, and monitor the results."
3. "I will have the physician prescribe something different for you."
4. "You have an allergy, and should stop using the drops."
Correct Answer: 1
Rationale 1: Miotic agents (Isopto) produce various responses in the eye, including dilation of the trabecular meshwork so that the canal of Schlemm can absorb more aqueous humor, thus decreasing intraocular pressure. Side effects are temporary, and include blurred vision and accommodation effects.
Rationale 2: "Use only half the dose, and monitor the results" is incorrect. Side effects are temporary, and include blurred vision and accommodation effects.
Rationale 3: "I will have the physician prescribe something different for you" is incorrect. Side effects are temporary, and include blurred vision and accommodation effects.
Rationale 4: "You have an allergy, and should stop using the drops" is incorrect. Side effects are temporary, and include blurred vision and accommodation effects.
Global Rationale: Miotic agents (Isopto) produce various responses in the eye, including dilation of the trabecular meshwork so that the canal of Schlemm can absorb more aqueous humor, thus decreasing intraocular pressure. Side effects are temporary, and include blurred vision and accommodation effects. "Use only half the dose, and monitor the results" is incorrect. Side effects are temporary, and include blurred vision and accommodation effects. "I will have the physician prescribe something different for you" is incorrect. Side effects are temporary, and include blurred vision and accommodation effects. "You have an allergy, and should stop using the drops" is incorrect. Side effects are temporary, and include blurred vision and accommodation effects.
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